Shelly Marie Gore LCSW

NPI 1720122989 - Social Worker - 1041C0700X

NPI Details
NPI 1720122989
Gender Female
Enumeration Date 02/19/2007
Last Updated 07/08/2007
Entity Type Individual
Active Over 9 years ago
Practice Location
3040 N WILTON AVE
CHICAGO IL, 60657-4424, US
Phone (773) 296-8247
Fax
Business Location
4327 N HERMITAGE AVE APT 1W
CHICAGO IL, 60613-1126, US
Phone (773) 296-8247
Fax
Toxanomy
Taxonomy Code 1041C0700X
License State
License Number
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According to our database, Shelly Marie Gore LCSW NPI is 1720122989, taxonomy code is 1041C0700X Shelly Marie Gore LCSW physically located at 3040 N Wilton Ave, Chicago IL, 60657-4424. NPI Number Shelly Marie Gore LCSW has the Individual type.

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1720122989 NPI number is provided on an as is basis without warranty of any kind. 1720122989 is maintained by the National Plan & Provider Enumeration System. The contents of Shelly Marie Gore LCSW are for informational purposes only.