JERRY SMITH

MARTINEZ, GA
NPI1902278443
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: GA  1614)
Enumeration Date2015-10-23
Last Update Date2015-10-23
Business Address
-- JERRY SMITH LCSW
4145 COLUMBIA RD
MARTINEZ, GA 30907-5400
Phone number: 706-869-7373
Mailing Address
-- JERRY SMITH LCSW
4145 COLUMBIA RD
MARTINEZ, GA 30907-5400
Phone number: