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1700313764
TYNETTA AMBER SMITH
PORTAGE, MI
NPI
1700313764
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
103TC1900X Psychologist, Counseling
(Licence: MI 6352000873)
Enumeration Date
2017-05-21
Last Update Date
2023-06-13
Business Address
Ms. TYNETTA AMBER SMITH M.S., DTLLP
1400 W MILHAM AVE
PORTAGE, MI 49024-1209
Phone number: 888-344-5977
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Mailing Address
Ms. TYNETTA AMBER SMITH M.S., DTLLP
3426 W MAIN ST APT 3
KALAMAZOO, MI 49006-6035
Phone number: 410-903-8439
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