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Individual
MICHAEL SHOCK
Active
Individual
MICHAEL SHOCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LICSW
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
4694
ND
Other
Enumeration date
03/13/2007
Last updated
10/27/2017
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