Individual
MS. CONNIE SHEPARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
2324 CONCORD LAKE RD, CONCORD, NC 28025-2814
(704) 904-9381
(704) 461-4334
Mailing address
11607 RUTH POLK CT, CHARLOTTE, NC 28269-4804
(704) 904-9381
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
C010561
NC
Other
Enumeration date
01/13/2015
Last updated
06/11/2019
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