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Individual

CASSANDRA SMITH

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
120 N DUDLEY ST, AMERICUS, GA 31709-3410
(478) 988-7100
Mailing address
200 OLYMPIA DRIVE APT N-3, WARNER ROBINS, GA 31093
(478) 308-9653

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
GA
101YM0800X
Mental Health Counselor
Primary
GA
101YM0800X
Mental Health Counselor
172V00000X
Community Health Worker
GA

Other

Enumeration date
10/09/2019
Last updated
10/09/2019
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