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Individual

BENJAMIN SMITH JR.

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
LLBSW

Contact information

Practice address
9641 HARPER AVE, DETROIT, MI 48213-2731
(313) 481-1210
Mailing address
48481 BEACON SQUARE DR, MACOMB, MI 48044-1445
(313) 737-9016

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
6852093136
MI

Other

Enumeration date
03/18/2022
Last updated
03/18/2022
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