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1649561150
JENNIFER SHEPPARD
PORTLAND, OR
NPI
1649561150
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: OR LMSW M4774)
Enumeration Date
2011-05-02
Last Update Date
2011-05-02
Business Address
-- JENNIFER SHEPPARD
5023 NE KILLINGSWORTH ST
PORTLAND, OR 97218-1915
Phone number: 503-238-0769
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Mailing Address
-- JENNIFER SHEPPARD
PO BOX 8459
PORTLAND, OR 97207-8459
Phone number: 503-238-0769
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