Smith, Kelly Rae

Smith, Kelly Rae is an individual health care provider with primary practice located at 33542 Ecorse Rd , Romulus MI 48174-1655. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Social Worker. Behavioral Health & Social Service Providers / Social Worker is her primary health care specialty. Smith, Kelly Rae can be contacted via phone (734) 905-9341.

Contact Information

Primary practice address
33542 Ecorse Rd Romulus MI 48174-1655
Phone: (734) 905-9341
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X 6801081889 Michigan
Behavioral Health & Social Service Providers / Social Worker 104100000X 6801081889 Michigan

Profile Details

NPI number 1932399169
LBN Legal business name Smith, Kelly Rae
Credentials LMSW
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 25th, 2007
Last updated Sep 19th, 2018 - about 7 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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