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NPI Code Detail

MEDICARE: ERIN MACLEOD-SMITH LMSW

MEDICARE: ERIN MACLEOD-SMITH LMSW
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11041C0700XClinical Social Worker6801092621MI

General Provider Information

NPI Number : 1801330147
Entity Type Code : Individual
Provider Name (Legal Business Name) : ERIN MACLEOD-SMITH LMSW
Provider Business Mailing Address
First Line : 33539 BALMORAL ST
Second Line :
City : WESTLAND
State : MI
Zip : 48185-3020
Country : US
Telephone Number : 734-612-6629
Fax Number : 734-728-2183
Provider Business Practice Location Address
First Line : 33475 PALMER RD
Second Line :
City : WESTLAND
State : MI
Zip : 48186-4614
Country : US
Telephone Number : 734-728-2423
Fax Number : 734-728-2183
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/06/2016
Last Update Date : 12/06/2016

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