Individual
MS. MARQUETTA ELAINE SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSSW, PCS, CCC
Contact information
Practice address
65 HARBOUR TOWN CV, FAYETTEVILLE, GA 30215-8042
(404) 692-3245
Mailing address
65 HARBOUR TOWN CV, FAYETTEVILLE, GA 30215-8042
(404) 692-3245
Taxonomy
Speciality
Code
Description
License number
State
101YP1600X
Pastoral Counselor
Primary
—
—
Other
Enumeration date
12/04/2024
Last updated
12/04/2024
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