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Individual

SHAKERIA LASHAWNDA SMITH

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LMT

Contact information

Practice address
30881 EKLUTNA LAKE RD, CHUGIAK, AK 99567-5166
(907) 688-1750
Mailing address
3600 SAN JERONIMO DR, ANCHORAGE, AK 99508-2870
(907) 793-3600

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
225700000X
Massage Therapist
209392
AK

Other

Enumeration date
05/02/2023
Last updated
01/07/2025
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