Individual
MS. SHARON SUZETTE SMITH-WILBORN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMSW, LISAC
Contact information
Practice address
4839 S DARROW DR, G162, TEMPE, AZ 85282-6684
(480) 234-2404
Mailing address
4839 S DARROW DR, G162, TEMPE, AZ 85282-6684
(480) 234-2404
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
LISAC - 11665
AZ
1041C0700X
Clinical Social Worker
LMSW - 8441
TN
Other
Enumeration date
08/04/2009
Last updated
11/30/2011
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