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Individual
MRS. SHIRLEY D SMITH
Active
Individual
MRS. SHIRLEY D SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S., LP.C, NCC
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
2005003223
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2005003223
LICENSED PRACTICAL COUNSE
MO
01
—
49284
NBCC
MO
05
—
497483404
—
MO
01
—
SDA3992127
CTS WITH DSS
MO
Enumeration date
12/02/2006
Last updated
07/23/2024
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