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Individual

MR. R WARREN SMITH

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
LCSW

Contact information

Practice address
2450 BANGOR CT, SNELLVILLE, GA 30078-5979
(678) 231-2043
Mailing address
2450 BANGOR CT, SNELLVILLE, GA 30078-5979
(678) 231-2043

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
CSW002178
GA

Other

Enumeration date
06/11/2025
Last updated
06/11/2025
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