Individual
MRS. GLORIA JEAN FISHER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
2722 COTTESFORD DR SE, SMYRNA, GA 30080-2188
(678) 234-0941
Mailing address
2722 COTTESFORD DR SE, SMYRNA, GA 30080-2188
(678) 234-0941
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
6801078097
MI
Other
Enumeration date
08/01/2018
Last updated
08/01/2018
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