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Katelyn Marie Smith

Case Manager/Care Coordinator in Port Huron, MI. Individual provider (NPI-1).

NPI number1891404331
StatusActive
Last updated in NPPESNov 22, 2022

Details

NPI
1891404331
Entity type
Individual (NPI-1)
Name
Katelyn Marie Smith
Sex
Female
Sole proprietor
No
Enumeration date
Nov 22, 2022
Certification date
Nov 22, 2022
Last updated
Nov 22, 2022

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
171M00000X Case Manager/Care Coordinator––Yes

Practice location

3111 Electric Ave
Port Huron, MI 48060

Phone 810-985-8900

Mailing address

3111 Electric Ave
Port Huron, MI 48060-8127

Phone 810-985-8900

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