Individual
SAMANTHA SHEPPARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
300 PARKER ST, MANCHESTER, CT 06042-3632
(860) 815-7634
Mailing address
46 TREMONT ST, HARTFORD, CT 06105-3069
(978) 761-3400
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
19175307
CT
Other
Enumeration date
07/28/2023
Last updated
07/28/2023
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