Individual
GABRIELLE E SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
600 PEACHTREE PKWY STE 112, CUMMING, GA 30041-6899
(678) 200-9732
(770) 995-1959
Mailing address
600 PEACHTREE PKWY STE 112, CUMMING, GA 30041-6899
(678) 200-9732
(770) 995-1959
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
CSW006664
GA
Other
Enumeration date
12/21/2018
Last updated
12/21/2018
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