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1255111878
AUTUMN J. SHEPPARD
BRIDGEPORT, CT
NPI
1255111878
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: CT 46.006818-ASOC)
Enumeration Date
2023-10-02
Last Update Date
2023-10-02
Business Address
AUTUMN J. SHEPPARD LPC-A
180 FAIRFIELD AVE
BRIDGEPORT, CT 06604-4252
Phone number: 203-394-6529
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Mailing Address
AUTUMN J. SHEPPARD LPC-A
39 PINTO LN
MONROE, CT 06468-1376
Phone number: 203-816-7105
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