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1750079067
MIRA B SHORE
PHILADELPHIA, PA
NPI
1750079067
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101Y00000X Counselor
Additional Taxonomies
103T00000X Psychologist
Enumeration Date
2023-04-25
Last Update Date
2024-10-07
Business Address
Dr. MIRA B SHORE PsyD.
850 N 11TH ST
PHILADELPHIA, PA 19123-1957
Phone number: 267-597-3604
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Mailing Address
Dr. MIRA B SHORE PsyD.
921 CHESTER PIKE
SHARON HILL, PA 19079-1411
Phone number: 610-639-0795
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