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Individual

SHANNON NICHOLE SMITH

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
1310 RIVERSIDE DR, PROSPECT, KY 40059-9063
(502) 269-2503
Mailing address
1310 RIVERSIDE DR, PROSPECT, KY 40059-9063

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary

Other

Enumeration date
09/25/2023
Last updated
09/25/2023
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Product
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  • Eligibility checks
  • EDI platform