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1477618098
DEMETRIOUS THOMAS SHEPARD
JACKSONVILLE, NC
NPI
1477618098
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YP2500X Counselor Professional
(Licence: NC 4611)
Enumeration Date
2006-12-26
Last Update Date
2012-07-31
Business Address
MRS. DEMETRIOUS THOMAS SHEPARD LPC
824 GUM BRANCH RD STE E
JACKSONVILLE, NC 28540-6270
Phone number: 910-327-1694
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Mailing Address
MRS. DEMETRIOUS THOMAS SHEPARD LPC
520 OLD CHADWICK LANE
JACKSONVILLE, NC 28540
Phone number: 910-347-1694
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