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Individual

MS. DONNA MARIE SMITH

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LCSW

Contact information

Practice address
302 PARC XING, ACWORTH, GA 30102-1807
(404) 538-0823
Mailing address
302 PARC XING, ACWORTH, GA 30102-1807
(404) 538-0823

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
055332
NY
1041C0700X
Clinical Social Worker
CSW004837
GA

Other

Enumeration date
01/27/2006
Last updated
03/28/2018
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