Individual
MR. RAYMOND LEE SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
12220 E 13 MILE RD STE 300, WARREN, MI 48093-5000
(586) 573-1810
Mailing address
21885 DUNHAM RD STE 1, CLINTON TOWNSHIP, MI 48036-1030
(586) 469-5950
(586) 469-6637
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
6401019553
MI
103T00000X
Psychologist
Primary
21179070632
MI
103T00000X
Psychologist
6301016719
MI
Other
Enumeration date
02/20/2017
Last updated
05/26/2022
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