Individual
EMMARIE SHEPPARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1501 SAN PEDRO DR SE, ALBUQUERQUE, NM 87108-5153
(505) 256-6499
Mailing address
PO BOX 2902, TUBA CITY, AZ 86045-2902
(928) 221-3388
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
X-09325
NM
Other
Enumeration date
07/19/2016
Last updated
07/19/2016
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