Individual
SUSAN J SHEPHERD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LICSW
Contact information
Practice address
22 WHIPPLE ST, BRATTLEBORO, VT 05301-6080
(802) 254-5497
Mailing address
22 WHIPPLE ST, BRATTLEBORO, VT 05301-6080
(802) 254-5497
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
0890000448
VT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
08028628
BCBS
—
05
—
1007083
—
VT
Enumeration date
10/03/2006
Last updated
07/08/2007
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