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1689222093
LORI DIANE SHEPARD
SANTA FE, NM
NPI
1689222093
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: NM C-10276)
Enumeration Date
2019-08-28
Last Update Date
2019-08-28
Business Address
Mrs. LORI DIANE SHEPARD LCSW
2504 CAMINO ENTRADA
SANTA FE, NM 87507-4851
Phone number: 505-471-5006
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Mailing Address
Mrs. LORI DIANE SHEPARD LCSW
4752 LLUVIA ENCANTADA
SANTA FE, NM 87507-0857
Phone number: 832-573-3932
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