Individual
STEPHANIE SHEPARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
619 ST PETER ST, RICHMOND, VA 23220-3216
(804) 332-9983
Mailing address
619 ST PETER ST, RICHMOND, VA 23220-3216
(804) 332-9983
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
2812
VA
Other
Enumeration date
04/18/2024
Last updated
04/18/2024
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