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1407144926
KASSONDRA JACKIE SHEPPARD
SANTA CRUZ, CA
NPI
1407144926
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2011-07-18
Last Update Date
2011-07-18
Business Address
-- KASSONDRA JACKIE SHEPPARD
126 FRONT ST A
SANTA CRUZ, CA 95060-4402
Phone number: 831-427-9343
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Mailing Address
-- KASSONDRA JACKIE SHEPPARD
2115 7TH AVE
SANTA CRUZ, CA 95062-1663
Phone number: 831-420-0120
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