Individual
MS. JULIA SHEPPARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
3203 S HIGHWAY 183 LOT 23, CLINTON, OK 73601-9602
(580) 649-1100
Mailing address
PO BOX 174, CLINTON, OK 73601-0174
(580) 649-1100
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
2376
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
12194777
CAQH
OK
01
—
2376
LCSW
OK
01
—
33781
CERTIFIED REHABILITATION COUNSELOR
OK
Enumeration date
09/07/2007
Last updated
08/27/2013
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