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Individual

MARY ANN SHEPPARD

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LPC

Contact information

Practice address
44 DARBYS CROSSING DR, HIRAM, GA 30141-6008
(678) 638-6610
Mailing address
3330 CUMBERLAND BLVD SE STE 500, ATLANTA, GA 30339-5997
(210) 323-1892

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
64376
TX
101YP2500X
Professional Counselor
Primary
LPC008805
GA

Other

Enumeration date
06/09/2011
Last updated
01/05/2019
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