Female

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)

Code

1041C0700X

Primary Taxonomy

Yes

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

Provider Address

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