Individual
KIMBERLY ANN SHEPHERD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LICSW, MSW
Contact information
Practice address
7580 160TH ST W, LAKEVILLE, MN 55044-8348
(952) 898-1133
(952) 435-6797
Mailing address
21 WINTHROP ST N, SAINT PAUL, MN 55119-4674
(612) 281-5263
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
26838
MN
Other
Enumeration date
02/01/2020
Last updated
02/01/2020
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