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Individual

MS. HERLICKIA C SHEPHERD

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
25201 CHAGRIN BLVD STE 390, BEACHWOOD, OH 44122-5637
(216) 910-9015
(216) 901-9015
Mailing address
1211 TUXEDO AVE, PARMA, OH 44134-1729
(216) 622-5237
(216) 901-9015

Taxonomy

Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
174573

Other

Enumeration date
01/12/2021
Last updated
01/12/2021
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