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1801450234
EMILY SHORE
REXBURG, ID
NPI
1801450234
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker Clinical
(Licence: ID 8861741)
Additional Taxonomies
104100000X Social Worker
Enumeration Date
2019-05-01
Last Update Date
2024-10-29
Business Address
EMILY SHORE LCSW
1218 BOND AVE
REXBURG, ID 83440-3503
Phone number: 208-534-7881
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Mailing Address
EMILY SHORE LCSW
PO BOX 1407
IDAHO FALLS, ID 83403-1407
Phone number: 801-518-4929
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