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Individual

DR. KIM MARIE SMITH

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PH.D.

Contact information

Practice address
31800 NORTHWESTERN HWY, SUITE 201, FARMINGTON HILLS, MI 48334-1655
(248) 557-3820
Mailing address
20590 WAYLAND ST, SOUTHFIELD, MI 48076-3157
(248) 557-3820

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
6301015598
MI

Other

Enumeration date
09/19/2012
Last updated
10/09/2013
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