MR. Kevin Shepherd, LCSW

NPI #1962872739 in Urbana, Illinois

Provider Information

NPI Number
1962872739
Entity Type
Individual
Name
MR. Kevin Shepherd, LCSW
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Social Worker - Clinical
Credential
LCSW
Enumeration Date
Oct 5, 2015
Last Updated
Oct 5, 2015

Practice Location

Address
2012 E AMBER LN
Address 2
APARTMENT 206
City
Urbana
ZIP Code
61802-6971
Phone
(217) 474-2928

Specialties & Taxonomy Codes

Specialty
Social Worker - ClinicalClinical

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