Individual
ALEXANDRA-JUDD SHEPPARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
7000 AUSTIN ST, SUITE 200, FOREST HILLS, NY 11375-1022
(718) 762-7633
Mailing address
935 SAINT NICHOLAS AVE, APT. 5C, NEW YORK, NY 10032-5116
(917) 891-7002
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
094768
NY
Other
Enumeration date
06/04/2015
Last updated
06/04/2015
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