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1144705161
TROY THOMAS SHORE
SOUTH OGDEN, UT
NPI
1144705161
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: UT 8359227-3501)
Enumeration Date
2018-09-25
Last Update Date
2018-09-25
Business Address
TROY THOMAS SHORE LCSW
748 NANCY DR
SOUTH OGDEN, UT 84403-3055
Phone number: 385-244-8446
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Mailing Address
TROY THOMAS SHORE LCSW
748 NANCY DR
SOUTH OGDEN, UT 84403-3055
Phone number: 385-244-8446
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