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1902278443
JERRY SMITH
MARTINEZ, GA
NPI
1902278443
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: GA 1614)
Enumeration Date
2015-10-23
Last Update Date
2015-10-23
Business Address
-- JERRY SMITH LCSW
4145 COLUMBIA RD
MARTINEZ, GA 30907-5400
Phone number: 706-869-7373
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Mailing Address
-- JERRY SMITH LCSW
4145 COLUMBIA RD
MARTINEZ, GA 30907-5400
Phone number:
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