MR. Cory Melvin Shipp, LCSW

NPI #1609850221 in Salt Lake City, Utah

Provider Information

NPI Number: 1609850221
Entity Type: Individual
Name: MR. Cory Melvin Shipp, LCSW
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Social Worker - Clinical
Credential: LCSW
Enumeration Date: Dec 6, 2005
Last Updated: Nov 3, 2009

Practice Location

Address: 1141 EAST 3900 SOUTH
Address 2: SUITE A-170
City: Salt Lake City
State: Utah
ZIP Code: 84124
Phone: (801) 284-4990

Specialties & Taxonomy Codes

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

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