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1134627292
SHANNON SMITH
FORT LAUDERDALE, FL
NPI
1134627292
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
106S00000X Behavior Technician
Enumeration Date
2018-01-24
Last Update Date
2019-10-25
Business Address
SHANNON SMITH
6416 NW 5TH WAY
FORT LAUDERDALE, FL 33309
Phone number: 888-754-0398
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Mailing Address
SHANNON SMITH
6416 NW 5TH WAY
FORT LAUDERDALE, FL 33309-6112
Phone number:
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