Individual
CAROLYN RUTH SHEPPARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LICSW
Contact information
Practice address
35 MCDEVITT RD, RANDOLPH, MA 02368-3850
(774) 274-0311
Mailing address
35 MCDEVITT RD, RANDOLPH, MA 02368-3850
(774) 274-0311
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
1019790
MA
Other
Enumeration date
09/23/2018
Last updated
09/23/2018
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