# LEEANN MASHAUNA SMITH

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1508459579
- **Gender:** F
- **Credential:** CRM

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 405300000X | Prevention Professional | 21-CRM-373 | OR | Yes |

## Other

- **Enumeration date:** 02/19/2021
- **Last updated:** 02/19/2021