Theresa Shore, LCSW

NPI #1023845096 in Geneva, Illinois

Provider Information

NPI Number: 1023845096
Entity Type: Individual
Name: Theresa Shore, LCSW
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Social Worker - Clinical
Credential: LCSW
Enumeration Date: Sep 16, 2024
Last Updated: Sep 16, 2024

Practice Location

Address: 321 HAMILTON ST
City: Geneva
State: Illinois
ZIP Code: 60134-2148
Phone: (630) 686-2282

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Social Worker - Clinical — Clinical	1041C0700X	Primary

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