Individual
CONSTANCE SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BSW
Contact information
Practice address
4920 SMOKESTONE DR, DOUGLASVILLE, GA 30135-8417
(404) 723-1237
Mailing address
4920 SMOKESTONE DR, DOUGLASVILLE, GA 30135-8417
(404) 723-1237
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
GA
Other
Enumeration date
01/08/2014
Last updated
01/08/2014
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