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Individual

MRS. SHANNON SMITH

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
6100 W FRIENDLY AVE, GREENSBORO, NC 27410-4160
(336) 292-9952
Mailing address
6912 HARVEST GLEN DR, GREENSBORO, NC 27406-8047

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
7062
NC

Other

Enumeration date
12/10/2017
Last updated
12/10/2017
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