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Individual

CERETTA DAWN SHEPPARD

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LMFT

Contact information

Practice address
105 BRENDA PICKETT CIR, PLAINS, GA 31780-0273
(229) 824-5679
(229) 824-5679
Mailing address
PO BOX 273, 105 BRENDA PICKETT CIR, PLAINS, GA 31780-0273
(229) 824-5679
(229) 824-5679

Taxonomy

Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
1085
GA

Other

Enumeration date
06/16/2008
Last updated
06/16/2008
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