Individual
TORI BROOKE SHEPARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
125 CRESTRIDGE ST STE 1, FORT COLLINS, CO 80525-4472
(970) 825-1531
Mailing address
125 CRESTRIDGE ST STE 1, FORT COLLINS, CO 80525-4472
(970) 825-1531
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
323
WY
171M00000X
Case Manager/Care Coordinator
—
—
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
04/20/2020
Last updated
12/13/2021
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