Individual
KIM COLLEEN SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1485 M 139, BENTON HARBOR, MI 49022-5711
(800) 336-0341
(269) 927-1326
Mailing address
24898 M 140, SOUTH HAVEN, MI 49090-6703
(269) 354-9695
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
05/20/2024
Last updated
05/20/2024
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