Individual
SHAWNA FOORD SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW-C
Contact information
Practice address
4540 B-D MACK AVE, FREDERICK, MD 21701
(301) 733-0330
(301) 733-4038
Mailing address
13121 BROOK LANE, HAGERSTOWN, MD 21742-1435
(301) 733-0330
(301) 733-4038
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
16146
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
816700100
—
MD
Enumeration date
07/12/2010
Last updated
01/14/2016
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