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Individual

SHANNON K. SMITH

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
466 N MAIN ST, CLEARFIELD, UT 84015-3222
(801) 695-1316
(801) 649-0964
Mailing address
PO BOX 12842, OGDEN, UT 84412-2842
(801) 695-1316
(801) 649-0964

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
291364-6004
UT

Other

Enumeration date
11/11/2008
Last updated
11/11/2008
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