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1578775490
DIANE A. SHEPPARD
MATAWAN, NJ
NPI
1578775490
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: NJ 44SL00879000)
Enumeration Date
2007-05-04
Last Update Date
2007-07-08
Business Address
Ms. DIANE A. SHEPPARD MSW, LSW, MAC
166 MAIN ST.
MATAWAN, NJ 07747
Phone number: 732-290-9040
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Mailing Address
Ms. DIANE A. SHEPPARD MSW, LSW, MAC
20 IMBROOK LANE
ABERDEEN, NJ 07747-1508
Phone number: 732-583-5447
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