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Individual
STEVEN B SHEPARD
Active
Individual
STEVEN B SHEPARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LICSW
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
224147
MA
1041C0700X
Clinical Social Worker
Primary
123453
MA
Other
Enumeration date
01/04/2019
Last updated
06/22/2021
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