Individual
MARY SUE SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
1503 N TIBBS RD, DALTON, GA 30720-2915
(706) 270-5008
(706) 270-5129
Mailing address
1494 HALLS CHAPEL RD, CRANDALL, GA 30711-5315
(706) 304-3398
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
MSW011649
GA
Other
Enumeration date
05/10/2024
Last updated
05/10/2024
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