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Organization
KATRINA SHEPARD LICSW, LLC
Active
Organization
KATRINA SHEPARD LICSW, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KATRINA SHEPARD LICSW (OWNER)
(617) 657-3425
Entity
Organization
Contact information
Practice address
165 WHITWELL ST UNIT 2, QUINCY, MA 02169-1832
(617) 657-3425
Mailing address
165 WHITWELL ST UNIT 2, QUINCY, MA 02169-1832
(617) 657-3425
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
123451
LICENSE
MA
Enumeration date
05/18/2021
Last updated
05/18/2021
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