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1285198457
ANGELA ELLEN JANE SHEPARD
ALBUQUERQUE, NM
NPI
1285198457
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: NM C-11660)
Enumeration Date
2019-01-22
Last Update Date
2022-12-21
Business Address
ANGELA ELLEN JANE SHEPARD LCSW
2900 LOUISIANA BLVD NE
ALBUQUERQUE, NM 87110-3532
Phone number: 505-804-1360
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Mailing Address
ANGELA ELLEN JANE SHEPARD LCSW
740 VALENCIA DR SE
ALBUQUERQUE, NM 87108-3745
Phone number: 505-804-1360
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