Individual
MRS. ALYSSA JEAN SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
2730 5 MILE RD NE, GRAND RAPIDS, MI 49525-6518
(616) 426-9159
(616) 222-0294
Mailing address
7 ANN ST NW, GRAND RAPIDS, MI 49505-6247
(616) 914-6510
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
6801100338
MI
Other
Enumeration date
02/20/2015
Last updated
10/11/2020
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