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Individual

GLENN L SHEPHARD JR.

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
LCSW

Contact information

Practice address
9 MOTT AVE STE 310, NORWALK, CT 06850-3916
(917) 608-1429
(203) 909-6483
Mailing address
9 MOTT AVE STE 310, NORWALK, CT 06850-3337
(917) 608-1429
(203) 909-6483

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
005288
CT
1041C0700X
Clinical Social Worker
040900-1
NY

Other

Enumeration date
05/15/2007
Last updated
06/26/2023
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