Individual
MR. DAVID SHOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
601 BROADWAY, BAYONNE, NJ 07002-3818
(201) 339-9200
Mailing address
4C HERITAGE DR, CHATHAM, NJ 07928-2966
(973) 635-8878
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
44SC00285500
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0021806
—
NJ
Enumeration date
05/09/2007
Last updated
07/09/2007
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