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1639590763
GARY SHEPHERD
FARMVILLE, VA
NPI
1639590763
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: VA 0701005670)
Enumeration Date
2013-12-16
Last Update Date
2013-12-16
Business Address
Mr. GARY SHEPHERD LPC
214 BUSH RIVER DR
FARMVILLE, VA 23901-3179
Phone number: 434-392-3187
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Mailing Address
Mr. GARY SHEPHERD LPC
214 BUSH RIVER DR
FARMVILLE, VA 23901-3179
Phone number: 434-392-3187
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