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1003319740
LIONEL J SMITH
DECATUR, GA
NPI
1003319740
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: GA CSW007482)
Enumeration Date
2018-03-08
Last Update Date
2022-11-28
Business Address
LIONEL J SMITH
445 WINN WAY
DECATUR, GA 30030-1707
Phone number: 404-294-3745
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Mailing Address
LIONEL J SMITH
445 WINN WAY
DECATUR, GA 30030-1707
Phone number:
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