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1922555853
SHANASI LEE SMITH
TAHLEQUAH, OK
NPI
1922555853
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: OK 07432)
Enumeration Date
2016-09-08
Last Update Date
2024-08-15
Business Address
Ms. SHANASI LEE SMITH
800 N EAST AVE APT 7B
TAHLEQUAH, OK 74464-2419
Phone number: 918-730-3637
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Mailing Address
Ms. SHANASI LEE SMITH
118 SBK 410 ROAD
STIGLER, OK 74462
Phone number: 918-316-5925
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