KEVIN SHEPHERD

URBANA, IL
NPI1962872739
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: IL  149.017708)
Enumeration Date2015-10-05
Last Update Date2015-10-05
Business Address
Mr. KEVIN SHEPHERD LCSW
2012 E AMBER LN APARTMENT 206
URBANA, IL 61802-6971
Phone number: 217-474-2928
Mailing Address
Mr. KEVIN SHEPHERD LCSW
2012 E AMBER LN APARTMENT 206
URBANA, IL 61802-6971
Phone number: 217-474-2928
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