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Individual

MARCIA WOOTSON SMITH

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LPC

Contact information

Practice address
3116 LINSLEY CT SW, CONYERS, GA 30094-5098
(678) 860-9392
Mailing address
3116 LINSLEY CT SW, CONYERS, GA 30094-5098
(678) 860-9392

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
006721
GA

Other

Enumeration date
08/08/2023
Last updated
08/08/2023
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