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Individual
MR. JERMAINE MAURICE SHEPPARD
Active
Individual
MR. JERMAINE MAURICE SHEPPARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
BA
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
NULL
171M00000X
Case Manager/Care Coordinator
—
CA
171M00000X
Case Manager/Care Coordinator
—
NULL
172V00000X
Community Health Worker
—
NULL
372600000X
Adult Companion
Primary
—
NULL
Other
Enumeration date
10/04/2007
Last updated
05/01/2025
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