Individual
PAMELA SMITH
Active
Individual
PAMELA SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
Primary
CN0028869777
GA
Other
Enumeration date
11/02/2022
Last updated
11/02/2022
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