Most Relevant Information
Provider Data
| NPI Number: | 1003319740 |
| Provider Name: | LIONEL J SMITH |
| Entity Type: | Individual |
| Taxonomy Code: | 1041C0700X |
| Specialty: | Social Worker |
| License Number: | CSW007482 |
Most Important Dates
| Enumeration Date: | 03/08/2018 |
| Last Updated: | 11/28/2022 |
Provider Practice Location
445 WINN WAY
DECATUR
GA
300301707
Practice Location Phone/Fax
| Phone: | 4042943745 |
| Fax: |
Provider Mailing Location
445 WINN WAY
DECATUR
GA
300301707
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |