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1154303410
SUSAN M SHEPHERD
ORANGE PARK, FL
NPI
1154303410
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: FL SW1462)
Enumeration Date
2005-11-14
Last Update Date
2007-07-08
Business Address
Mrs. SUSAN M SHEPHERD LCSW
1726 KINGSLEY AVE STE 3
ORANGE PARK, FL 32073-4463
Phone number: 904-264-5251
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Mailing Address
Mrs. SUSAN M SHEPHERD LCSW
1726 KINGSLEY AVE STE 3
ORANGE PARK, FL 32073-4463
Phone number: 904-264-5251
Copy
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