Shannon Marie Smith

NPI #1568119071 in Piedmont, Oklahoma

Provider Information

NPI Number: 1568119071
Entity Type: Individual
Name: Shannon Marie Smith
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Peer Specialist
Enumeration Date: Mar 4, 2022
Last Updated: Mar 4, 2022

Practice Location

Address: 7127 N COUNTY LINE RD
City: Piedmont
State: Oklahoma
ZIP Code: 73078-9136
Phone: (405) 858-1735

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Peer Specialist	175T00000X	Primary

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