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Individual

MRS. CAROL ANNE SHEPARD

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LMFT

Contact information

Practice address
714 W CORBETT AVE STE 22, SWANSBORO, NC 28584-8437
(910) 326-8881
Mailing address
PO BOX 1216, SWANSBORO, NC 28584-1216
(910) 326-8881

Taxonomy

Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
31403
CA
106H00000X
Marriage & Family Therapist
Primary
755
NC

Other

Enumeration date
08/21/2006
Last updated
11/30/2007
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