Most Relevant Information
Provider Data
| NPI Number: | 1003344482 |
| Provider Name: | CARRIE SMITH |
| Entity Type: | Individual |
| Taxonomy Code: | 101YM0800X |
| Specialty: | Counselor |
| License Number: |
Most Important Dates
| Enumeration Date: | 05/30/2017 |
| Last Updated: | 05/30/2017 |
Provider Practice Location
204 MEADOWS DR
GRAYLING
MI
497382013
Practice Location Phone/Fax
| Phone: | 9893488522 |
| Fax: |
Provider Mailing Location
204 MEADOWS DR
GRAYLING
MI
497382013
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |