Individual
TIMOTHY MARK SHOREY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1001 WASHINGTON AVE, PROSPECT PARK, PA 19076-1307
(732) 551-4143
Mailing address
4202 ROSEMONT AVE, DREXEL HILL, PA 19026-5238
(732) 551-4143
Taxonomy
Speciality
Code
Description
License number
State
101YP1600X
Pastoral Counselor
Primary
—
—
Other
Enumeration date
03/01/2022
Last updated
03/01/2022
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