Individual
SAMANTHA J SHEPHERD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LSW
Contact information
Practice address
235 W LANCASTER AVE, DEVON, PA 19333-1560
(855) 740-1921
Mailing address
2701 RENAISSANCE BLVD FL 4, KING OF PRUSSIA, PA 19406-2781
(484) 803-9663
(484) 393-4096
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
SW137358
PA
Other
Enumeration date
11/19/2020
Last updated
11/19/2020
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