LARRY SHEPHERD

IOLA, KS
NPI1740920842
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date2022-03-29
Last Update Date2022-03-29
Business Address
LARRY SHEPHERD
304 N JEFFERSON AVE
IOLA, KS 66749-2327
Phone number: 620-365-5717
Mailing Address
LARRY SHEPHERD
304 N JEFFERSON AVE
IOLA, KS 66749-2327
Phone number: