NPI 1023304466
Derrielle Smith
Practice location
- Address
- 37899 W 12 Mile Rd Suite 130, Farmington Hills, MI 48331-3048
- Phone
- (248) 476-2229
- Mailing address
- 42307 Old Bridge Rd, Canton, MI 48188-1138
Registered specialties
Clinical Social Worker
Primary
Registry record
- NPI
- 1023304466
- Entity type
- Individual
- Sex (as registered)
- Female
- NPI issued
- 23 Jun 2011
- Record last updated
- 23 Jun 2011
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.