Individual
HEATHER E WALKER-SHEPHERD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW, LCSW
Contact information
Practice address
2910 S OLIVER AVE, JOPLIN, MO 64804-1459
(417) 439-6612
Mailing address
2910 S OLIVER AVE, JOPLIN, MO 64804-1459
(417) 439-6612
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
2011040366
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100746170G
—
OK
05
—
110-422-3940
—
MO
Enumeration date
02/08/2011
Last updated
02/09/2017
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