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1740065663
SHAWN SMITH
MODESTO, CA
NPI
1740065663
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2023-08-29
Last Update Date
2023-08-29
Business Address
SHAWN SMITH
1700 MCHENRY AVE STE 16
MODESTO, CA 95350-4373
Phone number: 209-527-3270
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Mailing Address
SHAWN SMITH
1700 MCHENRY AVE STE 16
MODESTO, CA 95350-4373
Phone number: 209-527-3270
Copy
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