Individual
EDEN VINCENT SHORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
5233 S ORCHARD TER, SEATTLE, WA 98118-4232
(360) 420-0521
Mailing address
5233 S ORCHARD TER, SEATTLE, WA 98118-4232
(360) 420-0521
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
SC61088916
WA
Other
Enumeration date
10/27/2025
Last updated
10/27/2025
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