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Individual

SCOTT SHEPARD

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
153 HAZARD AVE, ENFIELD, CT 06082-4592
(860) 731-5522
Mailing address
2 WATERSIDE XING STE 401, WINDSOR, CT 06095-1588
(860) 731-5522

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary

Other

Enumeration date
01/28/2020
Last updated
01/28/2020
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