DIANE S SMITH PC
Physician Assistant at Kercheval Ave, Detroit, MI

License number
Michigan 6301007629
Category
Social Work
Type
Clinical
License number
Michigan 6801017113
Category
Social Work
Type
Clinical
License number
Michigan 110675
Category
Nursing
Type
Psychiatric/Mental Health
License number
Michigan 110675
Category
Physician Assistant
Type
Psychiatric/Mental Health
Owner
Name: DIANE SHARON SMITH PHD APRN NP CNS
Title: PRESIDENT
Phone: (313) 882-7424
Address
Address
119 Kercheval Ave, Detroit, MI 48236
National Provider ID: 1730144239
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

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