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1023845096
THERESA SHORE
GENEVA, IL
NPI
1023845096
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: IL 149020550)
Enumeration Date
2024-09-16
Last Update Date
2024-09-16
Business Address
THERESA SHORE LCSW
321 HAMILTON ST
GENEVA, IL 60134-2148
Phone number: 630-686-2282
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Mailing Address
THERESA SHORE LCSW
804 S MAIN ST
MOUNT PROSPECT, IL 60056-4232
Phone number: 815-756-0842
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