Individual
LINDA LEE SHEPARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1363 W SPRUCE AVE, WASILLA, AK 99654-5327
(907) 376-2411
(907) 892-8699
Mailing address
1363 W SPRUCE AVE, WASILLA, AK 99654-5327
(907) 376-2411
(907) 892-8699
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
05/28/2020
Last updated
05/28/2020
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