SHANNON SMITH

MONTICELLO, MS
NPI1275860926
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy224Z00000X Occupational Therapy Assistant
(Licence: MS  TA2242)
Enumeration Date2009-11-17
Last Update Date2009-11-17
Business Address
-- SHANNON SMITH
1065 E BROAD ST
MONTICELLO, MS 39654-7703
Phone number: 601-587-1211
Mailing Address
-- SHANNON SMITH
125 T W BASS RD
CARSON, MS 39427-6276
Phone number:
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