DANIEL SHEPHERD

FORT WAYNE, IN
NPI1235956558
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy103TS0200X Psychologist, School
(Licence: IN  14808528)
Enumeration Date2024-09-26
Last Update Date2024-10-04
Business Address
DANIEL SHEPHERD
1200 BARR ST
FORT WAYNE, IN 46802-3502
Phone number: 260-802-0383
Mailing Address
DANIEL SHEPHERD
1200 BARR ST
FORT WAYNE, IN 46802-3502
Phone number:
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