Individual
ERIC ALAN SHEPARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
224 E WISHKAH ST, ABERDEEN, WA 98520-6513
(360) 878-8248
Mailing address
701 L ST APT 9, HOQUIAM, WA 98550-3555
(360) 470-2852
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
08/03/2020
Last updated
08/03/2020
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