Shannon Nichole Smith

NPI #1134908536 in Prospect, Kentucky

Provider Information

NPI Number: 1134908536
Entity Type: Individual
Name: Shannon Nichole Smith
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Social Worker
Enumeration Date: Sep 25, 2023
Last Updated: Sep 25, 2023

Practice Location

Address: 1310 RIVERSIDE DR
City: Prospect
State: Kentucky
ZIP Code: 40059-9063
Phone: (502) 269-2503

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Social Worker	104100000X	Primary

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