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NPI Code Detail

MEDICARE: MRS. TEKESHA SMITH LCSW

MEDICARE:  MRS. TEKESHA  SMITH  LCSW
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11041C0700XClinical Social WorkerCSW005723GA

General Provider Information

NPI Number : 1740644459
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. TEKESHA SMITH LCSW
Provider Business Mailing Address
First Line : 3352 GRACE FARM LN
Second Line :
City : BUFORD
State : GA
Zip : 30519-0100
Country : US
Telephone Number : 678-542-8169
Fax Number :
Provider Business Practice Location Address
First Line : 3717 LEISURE CT
Second Line :
City : BUFORD
State : GA
Zip : 30519-4317
Country : US
Telephone Number : 678-542-8169
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/08/2016
Last Update Date : 01/12/2025

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Directions to “ MRS. TEKESHA SMITH LCSW” Practice Location

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