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Individual

MRS. SHANTERIA ANNTIONETTE SMITH

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
4507 HARDWOOD GLEN DR, FRESNO, TX 77545-9593
(979) 943-0026
Mailing address
4507 HARDWOOD GLEN DR, FRESNO, TX 77545-9593
(281) 780-0240

Taxonomy

Speciality
Code
Description
License number
State
103TB0200X
Cognitive & Behavioral Psychologist
Primary

Other

Enumeration date
08/04/2023
Last updated
08/04/2023
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