Individual
KENYA SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
4025 LUCAS LN, ELLENWOOD, GA 30294-2069
(678) 521-8535
Mailing address
6919 W 141ST TER APT 1401, OVERLAND PARK, KS 66223-4814
(678) 521-8535
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
MSW009939
GA
Other
Enumeration date
04/01/2022
Last updated
04/01/2022
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