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Individual

MR. CALVIN KITTRELL SMITH

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
LPC

Contact information

Practice address
2350 COBB PKWY SE APT 9C, SMYRNA, GA 30080-2708
(678) 878-1548
Mailing address
2350 COBB PKWY SE APT 9C, SMYRNA, GA 30080-2708
(678) 878-1548

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
2007034821
MO
101YP2500X
Professional Counselor
6761
SC
101YP2500X
Professional Counselor
Primary
LPC009336
GA

Other

Enumeration date
12/23/2019
Last updated
12/23/2019
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