Individual
KIMBERLY SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
180 WATER OAK DR, CEDARTOWN, GA 30125-2095
(770) 748-2225
Mailing address
180 WATER OAK DR, CEDARTOWN, GA 30125-2095
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
NONE
—
Other
Enumeration date
11/30/2015
Last updated
11/30/2015
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