Individual
KINDRED ELIZABETH SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APC
Contact information
Practice address
41 PERIMETER CTR E STE 250, DUNWOODY, GA 30346-1902
(770) 871-3785
Mailing address
1295 BANDANA BLVD W, STE 210, ST. PAUL, MN 55108
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
APC009569
GA
Other
Enumeration date
03/20/2025
Last updated
03/20/2025
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