Individual
AISHA SHEPPARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1585 DEMPSTER ST, MT PROSPECT, IL 60056-4978
(224) 645-9264
Mailing address
1585 DEMPSTER ST, MT PROSPECT, IL 60056-4978
(224) 645-9264
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
08/21/2018
Last updated
08/21/2018
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