Individual
PAIGE ELISE SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2449 WILDLIFE LAKE RD, SUMMERVILLE, GA 30747-5307
(262) 496-6692
Mailing address
2449 WILDLIFE LAKE RD, SUMMERVILLE, GA 30747-5307
(262) 496-6692
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
APC010258
GA
Other
Enumeration date
03/09/2026
Last updated
03/09/2026
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