Individual
MRS. MARTHA ANN SHEPARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
13101 ALLEN RD, SOUTHGATE, MI 48195-2216
(734) 785-7701
Mailing address
13101 ALLEN RD, SOUTHGATE, MI 48195-2216
(734) 785-7701
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
6802057499
MI
Other
Enumeration date
06/22/2012
Last updated
06/22/2012
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