Individual
LETISHA ERICA SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
120 N WASHINGTON SQ STE 307, LANSING, MI 48933-1617
(517) 391-6276
(517) 580-7522
Mailing address
219 LAHOMA ST, LANSING, MI 48915-1821
(517) 391-6276
(517) 580-7522
Taxonomy
Speciality
Code
Description
License number
State
103TH0100X
Health Service Psychologist
Primary
—
—
Other
Enumeration date
08/13/2018
Last updated
08/13/2018
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