Most Relevant Information
Provider Data
| NPI Number: | 1003567199 |
| Provider Name: | GREG SMITH LBSW |
| Entity Type: | Individual |
| Taxonomy Code: | 104100000X |
| Specialty: | Social Worker |
| License Number: |
Most Important Dates
| Enumeration Date: | 01/11/2022 |
| Last Updated: | 01/11/2022 |
Provider Practice Location
12265 JAMES ST BLDG A
HOLLAND
MI
494248613
Practice Location Phone/Fax
| Phone: | 6164945556 |
| Fax: |
Provider Mailing Location
12265 JAMES ST BLDG A
HOLLAND
MI
494248613
Provider Mailing Phone/Fax
| Phone: | 6164945556 |
| Fax: |