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Individual

LERA SHEPPEARD

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LCSW

Contact information

Practice address
681 CENTER ST NE, SALEM, OR 97301-3722
(503) 588-5828
(503) 588-5852
Mailing address
681 CENTER ST NE, SALEM, OR 97301-3722
(503) 588-5828
(503) 588-5852

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
LCSW-29288
ID
1041C0700X
Clinical Social Worker
Primary
OR

Other

Enumeration date
06/13/2011
Last updated
06/13/2011
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