Individual
MR. JUSTIN DANIEL SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LMSW
Contact information
Practice address
1551 JENNINGS MILL RD UNIT 1700B, WATKINSVILLE, GA 30677-7266
(470) 355-5200
Mailing address
1551 JENNINGS MILL RD UNIT 1700B, WATKINSVILLE, GA 30677-7266
(470) 355-5200
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
MSW008907
GA
Other
Enumeration date
12/31/2021
Last updated
12/31/2021
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