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Individual

MS. TAMARA NICOLE SHEPPARD

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LMSW

Contact information

Practice address
346 BROOKS AVE, ROCHESTER, NY 14619-2451
(585) 464-0016
Mailing address
131 W BROAD ST, ROCHESTER, NY 14614-1103
(585) 262-8100

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
081213
NY
1041S0200X
School Social Worker
Primary
081213
NY

Other

Enumeration date
10/12/2011
Last updated
10/12/2011
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