Most Relevant Information
Provider Data
| NPI Number: | 1003270406 |
| Provider Name: | ANGELA SMITH |
| Entity Type: | Individual |
| Taxonomy Code: | 101YP2500X |
| Specialty: | Counselor |
| License Number: | 6401012401 |
Most Important Dates
| Enumeration Date: | 04/12/2016 |
| Last Updated: | 04/12/2016 |
Provider Practice Location
26681 LEHNER ST
ROSEVILLE
MI
480663286
Practice Location Phone/Fax
| Phone: | 5863064881 |
| Fax: |
Provider Mailing Location
26681 LEHNER ST
ROSEVILLE
MI
480663286
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |