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1508549197
JOSEPH SHEPHERD
EAGLE RIVER, AK
NPI
1508549197
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2023-08-09
Last Update Date
2023-08-09
Business Address
JOSEPH SHEPHERD
8012 STEWART MOUNTAIN DR
EAGLE RIVER, AK 99577-9013
Phone number: 907-694-3336
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Mailing Address
JOSEPH SHEPHERD
2600 CORDOVA ST STE 101
ANCHORAGE, AK 99503-2745
Phone number: 219-850-4084
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