Organization
LEGACY SPORTS AND SEL STRATEGIES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ALPHONSO LEWIS SHEPHERD M.S. (BUSINESS OWNER)
(646) 594-4281
Entity
Organization
Contact information
Practice address
2 MALLORY CT, NEW CASTLE, DE 19720-8852
(646) 594-4281
Mailing address
2 MALLORY CT, NEW CASTLE, DE 19720-8852
(646) 594-4281
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
04/23/2024
Last updated
04/23/2024
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