Individual
LISA MARIE SHEPARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1290 KENNESTONE CIR, MARIETTA, GA 30066-6009
(770) 842-9643
Mailing address
1290 KENNESTONE CIR, MARIETTA, GA 30066-6009
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
—
Other
Enumeration date
06/21/2022
Last updated
06/21/2022
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