Individual
MRS. RACHELLE SHEPHERD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
4336 S 109TH EAST AVE, #906, TULSA, OK 74146-5316
(360) 631-2702
Mailing address
PO BOX 471193, TULSA, OK 74147-1193
(360) 631-2702
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
5342
OK
Other
Enumeration date
01/13/2016
Last updated
01/13/2016
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