Individual
DONNA MARIE SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, LLP
Contact information
Practice address
13101 ALLEN RD, SUITE 500, SOUTHGATE, MI 48195-2216
(734) 785-7704
(734) 785-7704
Mailing address
13101 ALLEN RD, SUITE 500, SOUTHGATE, MI 48195-2216
(734) 785-7704
(734) 785-7704
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
6301011041
MI
Other
Enumeration date
07/13/2006
Last updated
02/06/2009
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