Individual
MRS. MEHALA A SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S.W.
Contact information
Practice address
175 GWINNETT DR, LAWRENCEVILLE, GA 30046-8444
(770) 339-2395
(678) 990-3997
Mailing address
508 COBBLESTONE CREEK CT, MABLETON, GA 30126-2657
(404) 593-4413
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
CSW004494
GA
Other
Enumeration date
12/18/2012
Last updated
12/18/2012
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