KELLY SHEPHERD

POUGHKEEPSIE, NY
NPI1861972416
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date2018-08-14
Last Update Date2018-08-14
Business Address
KELLY SHEPHERD CASAC-T
412 MAIN ST
POUGHKEEPSIE, NY 12601-3312
Phone number: 845-486-8880
Mailing Address
KELLY SHEPHERD CASAC-T
412 MAIN ST
POUGHKEEPSIE, NY 12601-3312
Phone number:
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