Individual
MR. CALEB JOHN SHEPHERD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LICSW
Contact information
Practice address
320 MAIN ST # 3A, NORWICH, VT 05055-4418
(802) 778-0941
Mailing address
465 NEW BOSTON RD, NORWICH, VT 05055-9681
(802) 778-0941
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
0890001177
VT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
089-0001177
LICSW
VT
01
—
110290
LICSW
MA
Enumeration date
01/02/2007
Last updated
01/12/2023
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