Individual
AUTUMN LOREAL SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LLMSW
Contact information
Practice address
125 CATHERINE AVE, MUSKEGON, MI 49442-3331
(231) 720-3100
Mailing address
492 ERICKSON ST, MUSKEGON, MI 49442-1147
(231) 725-5280
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
02/03/2021
Last updated
02/03/2021
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