Individual
DEANNA SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
561 THORNTON RD STE R, LITHIA SPRINGS, GA 30122-1558
(770) 941-4529
(770) 941-5675
Mailing address
561 THORNTON RD STE R, LITHIA SPRINGS, GA 30122-1558
(770) 941-4529
(770) 941-5675
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
CSW001755
GA
Other
Enumeration date
03/13/2007
Last updated
07/08/2007
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