Clint Shepherd

NPI #1831490317 in Marysvale, Utah

Provider Information

NPI Number: 1831490317
Entity Type: Individual
Name: Clint Shepherd
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Foster Care Agency
Enumeration Date: Nov 15, 2010
Last Updated: Nov 15, 2010

Practice Location

Address: 8510 S TEN MILE RD
City: Marysvale
State: Utah
ZIP Code: 84750
Phone: (435) 201-9215

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor	101Y00000X
Foster Care Agency	253J00000X	Primary

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