Individual
MS. KATHRYNE S SHAPARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.A.
Contact information
Practice address
1803 N JACKSON ST, TULLAHOMA, TN 37388-2201
(931) 461-1315
Mailing address
1803 N JACKSON ST, TULLAHOMA, TN 37388-2201
(931) 461-1315
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
PE 0000001276
TN
Other
Enumeration date
03/01/2007
Last updated
07/08/2007
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