Individual
IRINA N SHEPPARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
64 MAIN ST, OSWEGO, IL 60543-9893
(630) 519-1010
(630) 405-7209
Mailing address
64 MAIN ST, OSWEGO, IL 60543-9893
(630) 519-1010
(630) 405-7209
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
178018014
IL
Other
Enumeration date
05/31/2023
Last updated
05/31/2023
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