Alyssa Lauren Shores, LCSW-C
Social Worker, Clinical in Salisbury, MD. Individual provider (NPI-1).
NPI number1164052890
StatusActive
Last updated in NPPESAug 29, 2024
Details
- NPI
- 1164052890
- Entity type
- Individual (NPI-1)
- Name
- Ms. Alyssa Lauren Shores
- Credential
- LCSW-C
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jan 22, 2020
- Certification date
- Aug 29, 2024
- Last updated
- Aug 29, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1041C0700X | Social Worker, Clinical | 25059 | MD | Yes |
Other names
- Alyssa Lauren Latta (Former Name)
Practice location
501 E Naylor Mill Rd Unit CSalisbury, MD 21804-2278
Phone 443-696-8733
Mailing address
501 E Naylor Mill Rd Unit CSalisbury, MD 21804-2278
Phone 443-696-8733
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