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Organization

SURI COUNSELING SERVICE, LLC

Active
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Organization

SURI COUNSELING SERVICE, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
KAYON M SMITH LCSW, CCM (LICENSED CLINICAL SOCIAL WORKER)
(678) 708-3397
Entity
Organization

Contact information

Practice address
168 WALTER WAY, STONE MOUNTAIN, GA 30083-6113
(678) 708-3397
Mailing address
168 WALTER WAY, STONE MOUNTAIN, GA 30083-6113
(678) 708-3397

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
CSW006400
GA

Other

Enumeration date
06/07/2018
Last updated
06/07/2018
About Stedi
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  • EDI platform