Individual
HOLLY SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SSCA
Contact information
Practice address
1199 HARRIS AVE, TAWAS CITY, MI 48763-9681
(517) 841-4210
Mailing address
1199 HARRIS AVE, TAWAS CITY, MI 48763-9681
(517) 841-4210
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
MI
Other
Enumeration date
12/03/2025
Last updated
12/03/2025
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