MS. Idell Smith, MSW

NPI #1467615492 in Redford, Michigan

Provider Information

NPI Number: 1467615492
Entity Type: Individual
Name: MS. Idell Smith, MSW
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Social Worker - Clinical
Credential: MSW
Enumeration Date: Jul 9, 2008
Last Updated: May 26, 2022

Practice Location

Address: 9315 TELEGRAPH RD
City: Redford
State: Michigan
ZIP Code: 48239-1260
Phone: (313) 450-4500

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor - Addiction (Substance Use Disorder) — Addiction (Substance Use Disorder)	101YA0400X
Social Worker - Clinical — Clinical	1041C0700X	Primary

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