Individual
JOHNNIE L SMITH-SHULL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LICSW
Contact information
Practice address
85 MECHANIC ST STE 3B-1, DARTMOUTH HITCHCOCK - PSYCHIATRY, LEBANON, NH 03766-1537
(603) 653-1732
Mailing address
85 MECHANIC ST STE 3B-1, DARTMOUTH HITCHCOCK - PSYCHIATRY, LEBANON, NH 03766-1537
(603) 653-1732
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
1513
NH
1041C0700X
Clinical Social Worker
LW00005924
WA
Other
Enumeration date
02/21/2007
Last updated
12/06/2016
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