DAVID SHANE SMITH

DUBUQUE, IA
NPI1508370198
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YM0800X Counselor, Mental Health
(Licence: IA  254)
Enumeration Date2017-11-19
Last Update Date2017-11-19
Business Address
DAVID SHANE SMITH
2485 MARYVILLE DR
DUBUQUE, IA 52001-1663
Phone number: 563-590-8847
Mailing Address
DAVID SHANE SMITH
2485 MARYVILLE DR
DUBUQUE, IA 52001-1663
Phone number:
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