Individual
DR. LESLEY IRENE SHORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
315 NORTH ST, MEDFIELD, MA 02052-1211
(508) 359-8056
Mailing address
315 NORTH ST, MEDFIELD, MA 02052-1211
(508) 359-8056
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
378
MA
Other
Enumeration date
02/19/2007
Last updated
07/08/2007
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