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Search › Minnesota › 1041C0700X

Matthew Shore, MSW, LICSW

NPI 1730431131 · on the registry since 2012

Practice

Address
3001 Hennepin Ave
#2170
Minneapolis, MN 55408
Phone
(612) 825-3440
Fax
(612) 827-2477
Organisation at this address
Visionworks, Inc.
Moxie Incorporated
Inferred from a shared address, not stated in the registry.

Registry record

Primary taxonomy
1041C0700X
1041C0700X
Licence states on file
MN
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2012-10-09

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Minnesota