Individual
SHEPARD WILEY STEPHENSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LGPC
Contact information
Practice address
23140 MOAKLEY ST STE 6, LEONARDTOWN, MD 20650-2931
(301) 690-8404
Mailing address
PO BOX 2514, LEONARDTOWN, MD 20650-8514
(301) 690-8404
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
LGP13630
MD
Other
Enumeration date
06/15/2023
Last updated
06/20/2023
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