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Individual

JENNIFER LUELLA SOMMER SHEPPARD

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MSW, LCSW

Contact information

Practice address
11059 E BETHANY DR, AURORA, CO 80014-2622
(303) 617-2300
Mailing address
11059 E BETHANY DR, AURORA, CO 80014-2622
(303) 617-2300

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
16591
MN
1041C0700X
Clinical Social Worker
Primary
CSW.09923407
CO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
056445000
MN HEALTH CARE PROGRAMS
MN
01
HP70372
HEALTHPARTNERS
MN
Enumeration date
10/20/2006
Last updated
11/10/2016
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