Individual
MICHAEL R SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
445 WINN WAY, DECATUR, GA 30030-1707
(404) 294-3745
Mailing address
445 WINN WAY, DECATUR, GA 30030-1707
(404) 294-3745
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
CSW005784
GA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
09/08/2008
Last updated
11/08/2016
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