Most Relevant Information
Provider Data
| NPI Number: | 1003210733 |
| Provider Name: | ANDREA L SMITH |
| Entity Type: | Individual |
| Taxonomy Code: | 104100000X |
| Specialty: | Social Worker |
| License Number: |
Most Important Dates
| Enumeration Date: | 10/08/2014 |
| Last Updated: | 10/08/2014 |
Provider Practice Location
640 TEMPLE ST
DETROIT
MI
482012599
Practice Location Phone/Fax
| Phone: | 3138337036 |
| Fax: |
Provider Mailing Location
43310 SILVERWOOD DR
CANTON
MI
481881780
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |