Individual
AYANNA SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1215 FULTON ST E, GRAND RAPIDS, MI 49503-3849
(616) 742-0351
Mailing address
1215 FULTON ST E, GRAND RAPIDS, MI 49503-3849
(616) 742-0351
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
6851116695
MI
Other
Enumeration date
03/24/2025
Last updated
03/24/2025
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