Individual
SHANA LYNN THOMPSON SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
618 S MADISON DR, TEMPE, AZ 85281-7248
(480) 784-1514
(480) 736-4939
Mailing address
618 S MADISON DR, TEMPE, AZ 85281-7248
(480) 784-1514
(480) 736-4939
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
17104
AZ
Other
Enumeration date
03/13/2018
Last updated
03/13/2018
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