SHANNON DEVAUGHN SMITH

LAKEWOOD, OH
NPI1326669888
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: OH  000332976)
Enumeration Date2020-05-06
Last Update Date2020-05-06
Business Address
SHANNON DEVAUGHN SMITH
17400 NORTHWOOD AVE
LAKEWOOD, OH 44107-2210
Phone number: 216-403-8640
Mailing Address
SHANNON DEVAUGHN SMITH
17400 NORTHWOOD AVE
LAKEWOOD, OH 44107-2210
Phone number: 216-403-8640
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