Individual
MS. CONNIE COBURN SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
130 26TH ST NW APT 602, ATLANTA, GA 30309-2089
(404) 723-9922
Mailing address
130 26TH ST NW APT 602, ATLANTA, GA 30309-2089
(404) 723-9922
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
2433
GA
Other
Enumeration date
08/03/2021
Last updated
08/03/2021
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