Individual
MISS KATHERINE ANNE SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
3181 PRAIRIE ST SW, GRANDVILLE, MI 49418-2097
(616) 730-2184
Mailing address
476 GREENBRIER DR SE, GRAND RAPIDS, MI 49546-2273
(616) 340-3218
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
7152000175
MI
Other
Enumeration date
06/06/2022
Last updated
06/06/2022
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