Individual
SIRINA SHEPHERD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW, LCSW
Contact information
Practice address
N14W23777 STONE RIDGE DR STE 135, WAUKESHA, WI 53188-1164
(414) 446-0751
Mailing address
N14W23777 STONE RIDGE DR STE 135, WAUKESHA, WI 53188-1164
(414) 446-0751
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
104100000X
Social Worker
131277-121
WI
1041C0700X
Clinical Social Worker
Primary
9982123
WI
Other
Enumeration date
07/25/2019
Last updated
04/11/2023
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