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NPI Code Detail

MEDICARE: MS. LESLIE E SHEPHERD LCSW

MEDICARE: MS. LESLIE E SHEPHERD LCSW
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11041C0700XClinical Social Worker39732TX

General Provider Information

NPI Number : 1659330637
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. LESLIE E SHEPHERD LCSW
Provider Business Mailing Address
First Line : 2222 W SPRING CREEK PKWY STE 116
Second Line :
City : PLANO
State : TX
Zip : 75023-4508
Country : US
Telephone Number : 214-618-8402
Fax Number : 870-772-4650
Provider Business Practice Location Address
First Line : 2222 W SPRING CREEK PKWY STE 116
Second Line :
City : PLANO
State : TX
Zip : 75023-4508
Country : US
Telephone Number : 870-703-6831
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/20/2006
Last Update Date : 04/03/2023

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