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Individual

MS. GWENDOLYN W SMITH

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LCSW

Contact information

Practice address
3633 WHEELER RD, SUITE 110, AUGUSTA, GA 30909-6549
(706) 855-7784
(706) 651-1090
Mailing address
3633 WHEELER RD, SUITE 110, AUGUSTA, GA 30909-6549
(706) 855-7784
(706) 651-1090

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
CSW001967
GA

Other

Enumeration date
12/27/2006
Last updated
07/08/2007
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