Individual
MARILYN SHEPHERD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1414 W ROYAL PALM RD, PHOENIX, AZ 85021-5664
(602) 405-5583
Mailing address
1414 W ROYAL PALM RD, PHOENIX, AZ 85021-5664
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LCSW2055
AZ
Other
Enumeration date
07/21/2015
Last updated
07/21/2015
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