Individual
MS. CHARLENE MARIE SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2323 PIEDMONT RD NE APT 2124, ATLANTA, GA 30324-3419
(252) 506-1088
Mailing address
2323 PIEDMONT RD NE APT 2124, ATLANTA, GA 30324-3419
(252) 506-1088
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LPC008628
GA
Other
Enumeration date
05/05/2020
Last updated
05/05/2020
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