Individual
MRS. NINA MACKENZIE SMALLS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
6600 VAN AALST BLVD, FORT BENNING, GA 31905-2102
(762) 408-4073
Mailing address
6600 VAN AALST BLVD, FORT BENNING, GA 31905-2102
(762) 408-4073
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
1169
WY
1041C0700X
Clinical Social Worker
7186
TN
171400000X
Health & Wellness Coach
—
—
Other
Enumeration date
09/09/2014
Last updated
08/30/2025
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