Individual
LOREAL ASHLEY SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
120 E TRINITY PL, DECATUR, GA 30030-3302
(404) 378-2300
Mailing address
4769 DEER CHASE, POWDER SPRINGS, GA 30127-3846
(678) 860-2255
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
12/29/2021
Last updated
12/29/2021
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