Individual
SHANNON SMIETANA BOXLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMFT
Contact information
Practice address
1910 PROSPECTOR AVE, SUITE 201, PARK CITY, UT 84060-7211
(435) 645-9240
(435) 645-9237
Mailing address
1910 PROSPECTOR AVE, SUITE 201, PARK CITY, UT 84060-7211
(435) 645-9240
(435) 645-9237
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
49066833902
UT
Other
Enumeration date
03/16/2007
Last updated
07/08/2007
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