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1104123827
AMY ELIZABETH SHEPARD
ROANOKE, VA
NPI
1104123827
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: VA 0904007562)
Enumeration Date
2011-02-15
Last Update Date
2011-02-15
Business Address
-- AMY ELIZABETH SHEPARD
1420 3RD ST SW
ROANOKE, VA 24016-5205
Phone number: 434-984-0023
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Mailing Address
-- AMY ELIZABETH SHEPARD
911 E JEFFERSON ST
CHARLOTTESVILLE, VA 22902-5355
Phone number: 434-984-0023
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