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Individual

VALERIE JEAN SHEPPERD

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MS, CCC-SLP

Contact information

Practice address
5000 MEMORIAL DR, TWO RIVERS, WI 54241-3900
(920) 794-5176
Mailing address
4125 MENASHA AVE, MANITOWOC, WI 54220-1145

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
1951-154
WI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
42781500
WI
Enumeration date
02/20/2007
Last updated
07/09/2007
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