Individual
MRS. SHANNON S. SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
274 OLD CORVALLIS RD UNIT M, HAMILTON, MT 59840-3213
(406) 317-2074
Mailing address
612 N 1ST ST STE 2-563, HAMILTON, MT 59840-2155
(406) 317-2074
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
BBH-LCSW-LIC-42750
MT
Other
Enumeration date
03/27/2020
Last updated
10/14/2021
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