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Search › Missouri › Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility

Shannon Wassam

NPI 1356465033 · on the registry since 2007 · sole proprietor

Practice

Address
308 E Smith St
Smithton, MO 65350
Phone
(660) 343-3681
Fax
(660) 343-5871
Organisation at this address
Lasting Impressions Group Home
Inferred from a shared address, not stated in the registry.

Registry record

Primary taxonomy
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
320900000X
Sex
Female
Record last updated
2014-10-07

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Missouri