Individual
BENJAMIN P SHORES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
640 W MARKET ST, AKRON, OH 44303-1413
(330) 762-5425
(330) 762-4019
Mailing address
640 W MARKET ST, AKRON, OH 44303-1413
(330) 762-5425
(330) 762-4019
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
I1201219
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
I1201219
LICENSED INDEPENDENT SOCIAL WORKER
OH
Enumeration date
09/14/2012
Last updated
09/14/2012
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