| Cynthia Shepherd, Lcsw, Llc | |
|
15615 State Road 23 Ste D Granger IN 46530-7091 | |
| (574) 406-0190 | |
| Not Available |
| Full Name | Cynthia Shepherd, Lcsw, Llc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 15615 State Road 23 Ste D, Granger, Indiana |
| Authorized Official Name and Position | Cynthia Shepherd (MEMBER) |
| Authorized Official Contact | 5744060190 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Cynthia Shepherd, Lcsw, Llc 51720 Bluffside Ct Granger IN 46530-7054 Ph: (574) 274-9944 | Cynthia Shepherd, Lcsw, Llc 15615 State Road 23 Ste D Granger IN 46530-7091 Ph: (574) 406-0190 |
| NPI Number | 1003521907 |
|---|---|
| Provider Enumeration Date | 01/16/2023 |
| Last Update Date | 01/16/2023 |
| Certification Date | 01/16/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003521907 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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