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1790838811
CHARLES MICHAEL SMITH
NILES, MI
NPI
1790838811
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
103TC0700X Psychologist, Clinical
(Licence: MI 6301008141)
Enumeration Date
2007-01-19
Last Update Date
2007-07-08
Business Address
Dr. CHARLES MICHAEL SMITH Ph.D.
333 N 2ND ST SUITE # 304
NILES, MI 49120-2258
Phone number: 269-687-9364
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Mailing Address
Dr. CHARLES MICHAEL SMITH Ph.D.
333 N 2ND ST SUITE # 304
NILES, MI 49120-2258
Phone number: 269-687-9364
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