BRYAN SHEPARD

BLOOMINGTON, IN
NPI1366828865
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: IN  34008606A)
Enumeration Date2015-08-06
Last Update Date2021-11-23
Business Address
BRYAN SHEPARD LCSW
520 S WALNUT ST
BLOOMINGTON, IN 47401-4618
Phone number: 812-502-4100
Mailing Address
BRYAN SHEPARD LCSW
520 S WALNUT ST # 3126
BLOOMINGTON, IN 47401-4618
Phone number: 812-502-4100
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