Individual
SHIRLEY SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMHC
Contact information
Practice address
101 S 11TH ST, SUITE 1, LEESBURG, FL 34748-5767
(352) 315-3913
(352) 360-6582
Mailing address
14360 GREATER PINES BLVD, CLERMONT, FL 34711-6557
(352) 315-3913
(352) 360-6582
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
MH 8709
FL
Other
Enumeration date
07/13/2006
Last updated
07/09/2007
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