Individual
ALIX GENEVA SHEPHERD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
316 N MILWAUKEE ST STE 401, MILWAUKEE, WI 53202-5925
(414) 758-8395
Mailing address
316 N MILWAUKEE ST STE 401, MILWAUKEE, WI 53202-5925
(414) 758-8395
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
103TC0700X
Clinical Psychologist
Primary
4093-57
WI
Other
Enumeration date
04/24/2017
Last updated
02/23/2023
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