Search › Idaho › 1041C0700X
Emily Shore, LCSW
NPI 1801450234 · on the registry since 2019
Practice
- Address
- 1218 Bond Ave
Rexburg, ID 83440 - Phone
- (208) 534-7881
- Fax
- (208) 242-4464
Registry record
- Primary taxonomy
- 1041C0700X
1041C0700X
- Also registered as
- 104100000X
- Licence states on file
- ID
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2024-10-29
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 Idaho