Smith, Gwendolyn W

Smith, Gwendolyn W is an sole proprietor health care provider with primary practice located at 3633 Wheeler Rd Suite 110, Augusta GA 30909-6549. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Smith, Gwendolyn W can be contacted via phone (706) 855-7784.

Contact Information

Primary practice address
3633 Wheeler Rd Suite 110 Augusta GA 30909-6549
Fax: (706) 651-1090
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X CSW001967 Georgia

Profile Details

NPI number 1972668226
LBN Legal business name Smith, Gwendolyn W
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 27th, 2006
Last updated Jul 8th, 2007 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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