| Doctor Name: | STEPHEN JAMES SMITH |
| NPI Number: | 1023042983 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | |
| License Number: | 6801066975 |
| Business Practice Address: | 23400 Michigan Ave Suite 405 Dearborn, MI - 481241924 |
| Business Phone Number: | 8107443600 |
| Business Fax Number: | 8107442597 |
| Mailing Address: | 1110 Eldon Baker Dr, FLINT |
| State: | MI |
| Postal Code: | 485071923 |
| Phone Number: | 8107443600 |
| Fax Number: | |
| NPI Enumeration Date: | 07/10/2006 |
| NPI Last Update Date: | 01/27/2009 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 1041C0700X |
| License Number: | 6801066975 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MI |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Social Worker |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | A social worker who holds a master |