Individual
MRS. JENNIFER SHEPHERD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.C.S.W
Contact information
Practice address
14780 W MOUNTAIN VIEW BLVD STE 110, SURPRISE, AZ 85374-7280
(623) 374-7774
(855) 420-6361
Mailing address
5415 E DOLPHIN CIR, MESA, AZ 85206-2229
(480) 854-6877
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LCSW2492
AZ
Other
Enumeration date
05/17/2007
Last updated
10/03/2018
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