Individual
DAN SHEPPARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
BS, LBSW, QMRP, QMHP
Contact information
Practice address
655 E CEDAR AVE, GLADWIN, MI 48624-2215
(989) 426-9295
(989) 426-2251
Mailing address
655 E CEDAR AVE, GLADWIN, MI 48624-2215
(989) 426-9295
(989) 426-2251
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
6802073361
MI
Other
Enumeration date
03/20/2012
Last updated
03/20/2012
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