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1962905208
SHANA LYNN THOMPSON SMITH
TEMPE, AZ
NPI
1962905208
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker Clinical
(Licence: AZ 17104)
Enumeration Date
2018-03-13
Last Update Date
2018-03-13
Business Address
SHANA LYNN THOMPSON SMITH
618 S MADISON DR
TEMPE, AZ 85281-7248
Phone number: 480-784-1514
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Mailing Address
SHANA LYNN THOMPSON SMITH
618 S MADISON DR
TEMPE, AZ 85281-7248
Phone number: 480-784-1514
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