Organization
FOUR IMMEASURABLES LIFE PRACTICE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. MISTY A SHORES LCSW (LICENSED CLINICAL SOCIAL WORKER)
(908) 202-6303
Entity
Organization
Contact information
Practice address
7 ELM ST FL 2, WESTFIELD, NJ 07090-2147
(908) 202-6303
Mailing address
7 ELM STREET, 2ND FLOOR, FRONT, WESTFIELD, NJ 07090-2147
(908) 202-6303
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
44SC05609600
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1578958245
PROVIDER NPI NUMBER FOR OWNER OF BUSINESS
NJ
Enumeration date
08/31/2016
Last updated
08/31/2016
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