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Individual

MR. JOSEPH SHEPHERD IV

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MSW

Contact information

Practice address
2820 GRANT LINE RD, NEW ALBANY, IN 47150-2494
(812) 981-2549
Mailing address
2820 GRANT LINE RD, NEW ALBANY, IN 47150-2494
(812) 981-2594

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
257319
KY
104100000X
Social Worker
33011069A
IN
1041C0700X
Clinical Social Worker
Primary
34011640A
IN

Other

Enumeration date
11/21/2022
Last updated
01/02/2025
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