Individual
MISS SHANNON LEAH SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
1149 NASHVILLE HWY, LEWISBURG, TN 37091-2236
(814) 648-2203
Mailing address
1323 MINNESOTA AVE, KNOXVILLE, TN 37921-2544
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
11/06/2023
Last updated
11/06/2023
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