Gergory A Smith, LCSW
Social Worker, Clinical in Gainesville, GA. Individual provider (NPI-1).
NPI number1821210071
StatusActive
Last updated in NPPESJul 8, 2007
Details
- NPI
- 1821210071
- Entity type
- Individual (NPI-1)
- Name
- Mr. Gergory A Smith
- Credential
- LCSW
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- May 3, 2007
- Last updated
- Jul 8, 2007
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1041C0700X | Social Worker, Clinical | 2846 | GA | Yes |
Practice location
621 Washington SSuite A2
Gainesville, GA 30501-8567
Phone 770-287-1356 · Fax 770-287-1352
Mailing address
621 Washington SSuite A2
Gainesville, GA 30501-8567
Phone 770-287-1356 · Fax 770-287-1352
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