Individual
MS. MOLONEE SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.A., TLLP
Contact information
Practice address
7310 WOODWARD AVE, DETROIT, MI 48202-3165
(313) 896-1444
Mailing address
7310 WOODWARD AVE, DETROIT, MI 48202-3165
(313) 896-1444
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
6301016793
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1669451944
LBS NPI #
MI
01
—
382833497
LBS TAX ID #
MI
Enumeration date
11/09/2016
Last updated
07/21/2022
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