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NPI Profile for SHERITA SHEPHERD in MONTICELLO, AR.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Professional |
101YP2500X |
| NPI Number | 1609413111 |
|
| Status | Active | |
| Credentials | LPC-CADC | |
| Entity | Individual | |
| Enumeration date | 12/03/2019 | |
| Last updated | 09/11/2024 - More than a year ago | |
| Sole proprietor 1 | No | |
| Identifiers |
|
|
| Hospital affiliation(s) | Not Available |
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SHERITA SHEPHERD
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SHERITA SHEPHERD, LPC-CADC