Individual
MS. CAROL SHEPARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SPECIAL EDUCATION
Contact information
Practice address
84 CHESTNUT LN, WOODBURY, NY 11797-1923
(516) 692-9713
Mailing address
84 CHESTNUT LN, WOODBURY, NY 11797-1923
(516) 692-9713
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
MS SPECIAL EDUCATOR
NY
Other
Enumeration date
03/16/2009
Last updated
03/16/2009
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