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1992781868
KANESSIA SHEPARD
UPPER MARLBORO, MD
NPI
1992781868
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
235Z00000X Speech-Language Pathologist,
(Licence: MD 05330)
Enumeration Date
2005-12-21
Last Update Date
2009-09-22
Business Address
-- KANESSIA SHEPARD MA, CCC-SLP
9716 LAKE POINTE CT APT 101
UPPER MARLBORO, MD 20774-4714
Phone number: 240-788-7089
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Mailing Address
-- KANESSIA SHEPARD MA, CCC-SLP
9716 LAKE POINTE CT APT 101
UPPER MARLBORO, MD 20774-4714
Phone number: 240-788-7089
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