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Individual
MR. SHAWN B. SMITH
Active
Individual
MR. SHAWN B. SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
L.C.P.C., L.C.A.D.C.
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
LCA462
MD
101YM0800X
Mental Health Counselor
Primary
LC2546
MD
Other
Enumeration date
04/10/2009
Last updated
04/10/2009
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