Individual
MISS LORI LATRECE SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
3103 CLAIRMONT RD NE, SUITE B, ATLANTA, GA 30329-1043
(678) 302-1945
(404) 601-1386
Mailing address
3103 CLAIRMONT RD NE, SUITE B, ATLANTA, GA 30329-1043
(678) 302-1945
(404) 601-1386
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
CSW005057
GA
Other
Enumeration date
01/13/2014
Last updated
01/13/2014
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