Individual
DEZSARAI SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6600 VAN AALST BLVD, FORT BENNING, GA 31905-2102
(762) 408-2604
Mailing address
6600 VAN AALST BLVD, FORT BENNING, GA 31905-2102
(706) 561-7383
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
02/11/2009
Last updated
11/05/2025
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