CRYSTAL SHEPARD

RIVERHEAD, NY
NPI1164853438
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy104100000X Social Worker
(Licence: NY  094468)
Additional Taxonomies104100000X Social Worker
Enumeration Date2013-12-11
Last Update Date2015-03-17
Business Address
-- CRYSTAL SHEPARD LMSW
821 E MAIN ST APT B-6
RIVERHEAD, NY 11901-2500
Phone number: 631-512-6523
Mailing Address
-- CRYSTAL SHEPARD LMSW
821 E MAIN ST APT B-6
RIVERHEAD, NY 11901-2500
Phone number: 631-512-6523
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