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1871762641
KENNETH LOUIS SHORE
RALEIGH, NC
NPI
1871762641
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: NC C003006)
Enumeration Date
2008-02-26
Last Update Date
2008-02-26
Business Address
Mr. KENNETH LOUIS SHORE LCSW
4112 BLUE RIDGE ROAD 2ND FLOOR
RALEIGH, NC 27612-4652
Phone number: 919-573-6520
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Mailing Address
Mr. KENNETH LOUIS SHORE LCSW
25 BLACKSTONE VALLEY PLACE SUITE 300 FELLOWSHIP HEALTH RESOURCES INC
LINCOLN, RI 02865-1163
Phone number: 401-333-3980
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