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Individual
MS. PENELOPE (PENNY) DAWN SHEPHERD
Active
Individual
MS. PENELOPE (PENNY) DAWN SHEPHERD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPCC/S
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
E.09000015 SUPV
OH
101YP2500X
Professional Counselor
Primary
E.0900015 SUPV
OH
Other
Enumeration date
09/03/2012
Last updated
09/07/2021
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