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Individual
MRS. SAUNDRA SHEPPARD
Active
Individual
MRS. SAUNDRA SHEPPARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PLPC, CRADC
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
4809
MO
101YP2500X
Professional Counselor
Primary
2012032159
MO
Other
Enumeration date
10/25/2012
Last updated
10/25/2012
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