SHANNON MARIE SMITH

POCATELLO, ID
NPI1598172694
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy235Z00000X Speech-Language Pathologist,
(Licence: ID  SLP-2557)
Enumeration Date2014-07-21
Last Update Date2024-09-19
Business Address
Miss SHANNON MARIE SMITH MS, CCC-SLP
1001 N 7TH AVE STE 280
POCATELLO, ID 83201-5788
Phone number: 208-239-1490
Mailing Address
Miss SHANNON MARIE SMITH MS, CCC-SLP
1559 STEVENS DRIVE UNIT D
IDAHO FALLS, ID 83401
Phone number: 208-241-3486
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