Individual
SHAWNDRIA NICOLE SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
997 COMMERCE DR SW STE 1A, CONYERS, GA 30094-6647
(404) 805-4348
(470) 777-2501
Mailing address
997 COMMERCE DR SW STE 1A, CONYERS, GA 30094-6647
(404) 805-4348
(470) 777-2501
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
CSW008102
GA
Other
Enumeration date
07/12/2022
Last updated
07/12/2022
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