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Individual

MR. SHAWN S SMITH

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MS, LCPC

Contact information

Practice address
111 S GEORGE ST STE 3, CUMBERLAND, MD 21502-3039
(301) 876-1290
Mailing address
15603 ELKLICK RD SW, FROSTBURG, MD 21532-3922

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
LC2263
MD
101YP2500X
Professional Counselor
Primary
LC2263
MD

Other

Enumeration date
09/08/2009
Last updated
02/01/2013
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