Individual
KATIE MARIE SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1115 BALL AVE NE, GRAND RAPIDS, MI 49505-5904
(616) 456-6571
Mailing address
1610 MONT RUE DR SE, GRAND RAPIDS, MI 49546-6464
(614) 632-4077
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
05/11/2026
Last updated
05/11/2026
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