Shannon Dee Wassam
Shannon Dee Wassam is an Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Smithton, Missouri. Practices as a sole proprietor. Registered with an NPI since 2007.
- In the registry since
- 2007
Practice location Address checks out
308 E Smith StSmithton, MO 65350-1079
Phone: (660) 343-3681
Fax: (660) 343-5871
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Specialties & licences
| Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility (primary) | Taxonomy 320900000X |
|---|
Record details
| NPI number | 1356465033 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | Yes |
| NPI enumerated | March 19, 2007 |
| Last updated in NPPES | October 7, 2014 |
| Mailing address | Po Box 513, 308 E Smith, Smithton, MO 65350-0513 |
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308 E Smith St, Smithton, MO 65350-1079 · (660) 343-3681