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Individual

MRS. JEANETTA SHEPPARD

Active
Find providers by NPI
Individual

MRS. JEANETTA SHEPPARD

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LCSW

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
CAP867
FL
101YA0400X
Addiction (Substance Use Disorder) Counselor
ICADC6435
FL
1041C0700X
Clinical Social Worker
Primary
2027C
AL
1041C0700X
Clinical Social Worker
SW7254
FL

Other

Enumeration date
02/21/2006
Last updated
06/18/2012
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