NPI 1134962988

Shauntrell Smith, LMSW

Practitioner Social Worker Lagrange, GA

Practice location

Address: 229 S Davis Rd, Lagrange, GA 30241-2608
Phone: (800) 805-6989

Registered specialties

Social Worker Primary

Behavioral Health & Social Service Providers Taxonomy 104100000X Licence 5320G (AL)

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Registry record

NPI: 1134962988
Entity type: Individual
Sex (as registered): Female
NPI issued: 18 Jun 2024
Record last updated: 18 Jun 2024

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.