Individual
SHANTONIA MOFFETT-SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CAPSW, LSW
Contact information
Practice address
2500 OVERLOOK TERRACE, MADISON, WI 53705
(608) 256-1901
Mailing address
607 MCDOWELL ST, DELAVAN, WI 53115-1236
(318) 605-9046
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
134628
WI
Other
Enumeration date
11/17/2023
Last updated
11/17/2023
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