Individual
MS. ELIZABETH SHOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LICSW
Contact information
Practice address
667 HUYETT RD, THE MENTAL AND SOCIAL HEALTH CENTER, CHARLES TOWN, WV 25414-5378
(304) 997-4161
Mailing address
667 HUYETT RD, THE MENTAL AND SOCIAL HEALTH CENTER, CHARLES TOWN, WV 25414-5378
(304) 997-4161
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
DP00943237
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3810013376
—
WV
Enumeration date
08/05/2008
Last updated
03/25/2016
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