Jennifer Shore, LICSW
NPI #1104499326 in Marblehead, Massachusetts
Provider Information
- NPI Number
- 1104499326
- Entity Type
- Individual
- Name
- Jennifer Shore, LICSW
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Social Worker - Clinical
- Credential
- LICSW
- Enumeration Date
- Jul 24, 2021
- Last Updated
- Jul 24, 2021
Practice Location
- Address
- 6 INTERVALE RD
- City
- Marblehead
- State
- Massachusetts
- ZIP Code
- 01945-1514
- Phone
- (781) 710-3746
Specialties & Taxonomy Codes
| Specialty |
|---|
| Social Worker - Clinical — Clinical |
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