Most Relevant Information
Provider Data
| NPI Number: | 1003665589 |
| Provider Name: | JASMINE TAMESHA SMITH |
| Entity Type: | Individual |
| Taxonomy Code: | 104100000X |
| Specialty: | Social Worker |
| License Number: |
Most Important Dates
| Enumeration Date: | 05/16/2024 |
| Last Updated: | 05/16/2024 |
Provider Practice Location
6309 MACK AVE
DETROIT
MI
482072302
Practice Location Phone/Fax
| Phone: | 3135440559 |
| Fax: |
Provider Mailing Location
6309 MACK AVE
DETROIT
MI
482072302
Provider Mailing Phone/Fax
| Phone: | 3135440559 |
| Fax: |