Individual
SONYA VALJEAN SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
18629 ORLEANS ST, DETROIT, MI 48203-2149
(313) 370-0683
Mailing address
19100 PARKSIDE ST, DETROIT, MI 48221-1833
(313) 544-3706
Taxonomy
Speciality
Code
Description
License number
State
311ZA0620X
Adult Care Home Facility
Primary
—
MI
320800000X
Mental Illness Community Based Residential Treatment Facility
—
MI
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
—
MI
Other
Enumeration date
01/06/2026
Last updated
01/06/2026
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