Individual
JAMES ANDREW SHEPHERD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MSU U/S
Contact information
Practice address
405 E EXCELSIOR AVE, VINITA, OK 74301-4226
(918) 256-6476
Mailing address
405 E EXCELSIOR AVE, VINITA, OK 74301-4226
(918) 256-6476
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
8032-P
OK
171M00000X
Case Manager/Care Coordinator
—
OK
Other
Enumeration date
03/03/2020
Last updated
08/16/2021
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