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Individual

MS. SHARON S SHEPARD

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LSCSW

Contact information

Practice address
800 MAIN ST, SUITE 103, WINFIELD, KS 67156-2859
(620) 221-8965
(620) 221-8995
Mailing address
1 FLEETWOOD DR, WINFIELD, KS 67156-5429
(620) 221-8965
(620) 221-8995

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
2267
KS

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
100098100A
KS
Enumeration date
10/02/2006
Last updated
08/26/2010
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