Kathleen Shepherd

NPI #1306000575 in Saint Maries, Idaho

Provider Information

NPI Number: 1306000575
Entity Type: Individual
Name: Kathleen Shepherd
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Social Worker - Clinical
Enumeration Date: Jul 16, 2008
Last Updated: Feb 26, 2015

Practice Location

Address: 622 W COLLEGE AVE STE 2
City: Saint Maries
State: Idaho
ZIP Code: 83861-1822
Phone: (205) 245-4363

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Social Worker - Clinical — Clinical	1041C0700X	Primary

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