Individual
MRS. AMBERLEE ALISSA SHEPHERD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
186 E 1800 N, NORTH LOGAN, UT 84341-2019
(435) 213-3062
Mailing address
1484 N 1600 E, LOGAN, UT 84341-2910
(435) 881-9170
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
10/04/2013
Last updated
06/12/2020
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