Individual
HEATHER HASTINGS SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3917 EMBASSY WALK CT, LILBURN, GA 30047-7832
(678) 698-8844
Mailing address
3917 EMBASSY WALK CT, LILBURN, GA 30047-7832
(678) 698-8844
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
CSW006834
GA
Other
Enumeration date
04/01/2024
Last updated
04/01/2024
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