Individual
SHANUA RAE SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3 CANYON VIEW CIR, HOT SPRINGS, SD 57747-1700
(605) 745-6222
Mailing address
350 ELK ST, RAPID CITY, SD 57701-7351
(605) 343-7262
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LPC7094
SD
Other
Enumeration date
03/07/2016
Last updated
03/07/2016
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