GERALD SHEPHARD

PORT JEFFERSON STATION, NY
NPI1205046406
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: NY  L015893)
Enumeration Date2007-05-23
Last Update Date2007-07-08
Business Address
Mr. GERALD SHEPHARD LCSW
164 HOWARD ST
PORT JEFFERSON STATION, NY 11776-2520
Phone number: 631-828-1230
Mailing Address
Mr. GERALD SHEPHARD LCSW
164 HOWARD ST
PORT JEFFERSON STATION, NY 11776-2520
Phone number: 631-828-1230
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