Individual
ANGELA ELLEN JANE SHEPARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
2900 LOUISIANA BLVD NE, ALBUQUERQUE, NM 87110-3532
(505) 804-1360
Mailing address
740 VALENCIA DR SE, ALBUQUERQUE, NM 87108-3745
(505) 804-1360
(505) 254-4594
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
C-11660
NM
Other
Enumeration date
01/22/2019
Last updated
12/21/2022
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