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1730431131
MATTHEW MERRITT SHORE
MINNEAPOLIS, MN
NPI
1730431131
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: MN 21474-LICSW)
Enumeration Date
2012-10-09
Last Update Date
2012-10-09
Business Address
-- MATTHEW MERRITT SHORE MSW, LICSW
3001 HENNEPIN AVE #2170
MINNEAPOLIS, MN 55408-2647
Phone number: 612-825-3440
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Mailing Address
-- MATTHEW MERRITT SHORE MSW, LICSW
3001 HENNEPIN AVE #2170
MINNEAPOLIS, MN 55408-2647
Phone number: 612-825-3440
Copy
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