Individual
MARLO GAZZO SHEPARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMFT
Contact information
Practice address
107 HOLLY STREET, OAK RIDGE, LA 71264
(318) 381-7133
Mailing address
PO BOX 87, OAK RIDGE, LA 71264-0087
(318) 381-7713
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
0494
MS
106H00000X
Marriage & Family Therapist
Primary
MFT1340
LA
Other
Enumeration date
07/26/2024
Last updated
07/26/2024
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