Individual
OLIVIA ELAINE SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
1304 ROCKBRIDGE RD, STONE MTN, GA 30087-3138
(404) 862-3800
Mailing address
PO BOX 16342, ATLANTA, GA 30321-0342
(404) 862-3800
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
CSW002106
GA
Other
Enumeration date
03/17/2007
Last updated
07/08/2007
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