Organization
SMITH LAMBE TWO HEADS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHELLEY TAGLIONE (BILLING SUPERV)
(734) 414-0754
Entity
Organization
Contact information
Practice address
29700 HARPER AVE, STE 1, SAINT CLAIR SHORES, MI 48082-2601
(810) 622-7805
Mailing address
29700 HARPER AVE, STE 1, SAINT CLAIR SHORES, MI 48082-2601
(810) 622-7805
Taxonomy
Speciality
Code
Description
License number
State
103TC1900X
Counseling Psychologist
Primary
4301053454
MI
Other
Enumeration date
10/21/2008
Last updated
10/21/2008
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