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Individual

HARRIETT VIRGINIA SMITH

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
175 GWINNETT DR, LAWRENCEVILLE, GA 30046-8444
(678) 209-2710
Mailing address
60 ROBERTS LN, COVINGTON, GA 30014-0935

Taxonomy

Speciality
Code
Description
License number
State
163WP0807X
Child & Adolescent Psychiatric/Mental Health Registered Nurse
Primary
RN237463
GA

Other

Enumeration date
06/21/2018
Last updated
06/21/2018
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