Individual
DEBRA SHEPARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW, RDDP
Contact information
Practice address
2601 W. MARQUETTE RD., CATHOLIC CHARITIES, CHICAGO, IL 60629
(773) 349-8052
Mailing address
2601 W. MARQUETTE RD., CATHOLIC CHARITIES, CHICAGO, IL 60629
(773) 349-8052
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
149.016627
IL
Other
Enumeration date
02/13/2017
Last updated
02/13/2017
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