Shannon Lenelle Smith
Case Manager/Care Coordinator in Poplar Bluff, MO. Individual provider (NPI-1).
NPI number1164090353
StatusActive
Last updated in NPPESJun 14, 2021
Details
- NPI
- 1164090353
- Entity type
- Individual (NPI-1)
- Name
- Shannon Lenelle Smith
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jun 14, 2021
- Certification date
- Jun 14, 2021
- Last updated
- Jun 14, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 171M00000X | Case Manager/Care Coordinator | – | – | Yes |
Practice location
3001 Warrior LnPoplar Bluff, MO 63901-8685
Phone 573-686-1200
Mailing address
3001 Warrior LnPoplar Bluff, MO 63901-8685
Phone 573-686-1200
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All 192 Case Manager/Care Coordinator providers in Poplar Bluff · All 1,814 providers in Poplar Bluff
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