Shannon Dee Wassam

NPI #1356465033 in Smithton, Missouri

Provider Information

NPI Number
1356465033
Entity Type
Individual
Name
Shannon Dee Wassam
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Enumeration Date
Mar 19, 2007
Last Updated
Oct 7, 2014

Practice Location

Address
308 E SMITH ST
ZIP Code
65350-1079
Phone
(660) 343-3681

Specialties & Taxonomy Codes

Specialty
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities

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