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1376083196
SHELLEY TASHINA SMITH
VIDALIA, GA
NPI
1376083196
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor Mental Health
(Licence: GA LPC009464)
Enumeration Date
2017-02-27
Last Update Date
2017-02-27
Business Address
MS. SHELLEY TASHINA SMITH LPC
304 ARLINGTON DR
VIDALIA, GA 30474-8935
Phone number: 912-850-6526
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Mailing Address
MS. SHELLEY TASHINA SMITH LPC
304 ARLINGTON DR
VIDALIA, GA 30474-8935
Phone number: 912-850-6526
Copy
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