Individual
MARY JO BEVERLY SHEPARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
207 N FRANKLIN ST, MT PLEASANT, MI 48858-2303
(989) 824-2374
Mailing address
9013 CHIPPEWA TRL, EVART, MI 49631-9350
(810) 908-2006
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
6401011545
MI
Other
Enumeration date
10/02/2023
Last updated
10/02/2023
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