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1326635590
SHANNON SMITH
LANSING, MI
NPI
1326635590
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YP2500X Counselor, Professional
(Licence: MI 6401009950)
Enumeration Date
2020-12-22
Last Update Date
2020-12-22
Business Address
SHANNON SMITH MA, CRC, CCM, LPC
1032 N CAPITOL AVE
LANSING, MI 48906-4823
Phone number: 517-282-1772
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Mailing Address
SHANNON SMITH MA, CRC, CCM, LPC
PO BOX 524
BYRON CENTER, MI 49315-0524
Phone number: 616-780-0244
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