Individual
MRS. ADRIENNE BRYANT SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
2099 GLENWOOD AVE SE, ATLANTA, GA 30316-2358
(770) 883-2681
Mailing address
2099 GLENWOOD AVE SE, ATLANTA, GA 30316-2358
(770) 883-2681
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
CSW006136
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CSW006136
GEORGIA COMPOSITE BOARD OF PROFESSIONAL COUNSELORS, SOCIAL WORKERS AND MARRIAGE
GA
Enumeration date
07/16/2020
Last updated
07/16/2020
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