Provider Information for 1235207689
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Mrs. SHIRLEY D SMITH M.S., LP.C, NCC
Other Names:Professional Name:SHIRLEY DAWN ANKROM-SMITH M.S., LPC, NCCSex: Female
NPI: 1235207689
Last Updated: 2024-07-23
Certification Date: 2024-02-07
Certification Date: 2024-02-07
Details
| Name | Value | ||||||||||||||||||||
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| NPI | 1235207689 | ||||||||||||||||||||
| Enumeration Date | 2006-12-02 | ||||||||||||||||||||
| NPI Type | NPI-1 Individual | ||||||||||||||||||||
| Sole Proprietor | YES | ||||||||||||||||||||
| Status | Active | ||||||||||||||||||||
| Mailing Address | PO BOX 189 WEBB CITY, MO 64870-0189 United States Phone: 417-839-1779 | Fax:888-839-9210 | ||||||||||||||||||||
| Primary Practice Address | 37 S MAIN ST WEBB CITY, MO 64870-2378 United States Phone: 417-839-1779 | Fax:888-839-9210 | ||||||||||||||||||||
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