Individual
CURTIS SHEPHERD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
5640 S 3500 W, ROY, UT 84067-9158
(801) 773-2838
(801) 773-3025
Mailing address
1055 N 500 W, ATTN CREDENTIALING, PROVO, UT 84604
(801) 354-8225
(801) 418-0941
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
279677-3501
UT
Other
Enumeration date
11/30/2022
Last updated
11/30/2022
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