Mrs. Tyra Shepeard LCSWA
Clinical Social Worker in Shelby, NC(View on Map)
Full Name
Mrs. Tyra Shepeard LCSWA
NPI Number
1700382264
NPI Type
Individual Provider
Gender
Female
Enumeration Date
04/03/2018
Specialties
(Taxonomies)Licenses
State
North Carolina
License Number
P012218
Contact
Information
Purpose
Mailing
Location
Address
9221 GLENWATER DR APT 711
609 N WASHINGTON ST
City
Charlotte
Shelby
State
NC
NC
Postal Code
28262-8490
28150-3810
Country
US
US
Telephone Number
(302) 377-4578
(704) 751-3693
Provider data last refreshed from NPPES NPI registry on 11/19/2024
Data last updated by provider on 02/05/2019