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1023742954
JODY EVELYN SHEPHARD
BONITA, CA
NPI
1023742954
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
106H00000X Marriage & Family Therapist
(Licence: CA LMFT30955)
Enumeration Date
2022-07-15
Last Update Date
2022-07-29
Business Address
JODY EVELYN SHEPHARD LMFT
3761 BONITA GLEN TERRACE
BONITA, CA 91902
Phone number: 619-995-4021
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Mailing Address
JODY EVELYN SHEPHARD LMFT
3761 BONITA GLEN TERRACE
BONITA, CA 91902
Phone number: 619-995-4021
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