Individual
EIYAH ELIZABETH SHEPHERD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
L.C.S.W.
Contact information
Practice address
1000 E LA RUA ST, PENSACOLA, FL 32501-4108
(850) 483-0334
Mailing address
1000 E LA RUA ST, PENSACOLA, FL 32501-4108
(850) 483-0334
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
SW11877
FL
Other
Enumeration date
05/23/2014
Last updated
08/12/2020
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