Renita Shores-gaston LCSW

  • 1346614435 NPI Number
  • |
  • Actived: 4 years ago
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According to our database, NPI number for Renita Shores-gaston LCSW is 1346614435 and actived since Monday, November 30 2015. Renita Shores-gaston LCSW is an individual provider specializes in Clinical, primary practice location is 129 S Phelps Ave, Rockford, IL 61108. You can also contact Renita Shores-gaston LCSW via telephone number is (815) 543-2789. Provider NPI information was last updated on 11/07/2019.

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Overview of Renita Shores-gaston LCSW

  • NPI number: 1063059160
  • Provider type: Individual
  • Specialty: Clinical
  • Gender: Female
  • Active since: 11/30/2015
  • Last updated: 11/07/2019

Primary Scrop of Practice

  • Taxonomy Code: 1041C0700X
  • Specialty: Clinical
  • License Number: 149.017848
  • License State: IL

Provider Mailing Address

  • Address: 129 S Phelps Ave
    Bldg 10 Suite 1006
    Rockford, IL 61108
  • Phone: 815-543-2789
  • Fax:

Provider Practice Location

  • Address: 129 S Phelps Ave
    Bldg 10 Suite 1006
    Rockford, IL 61108
  • Phone: 815-543-2789
  • Fax:

Scope of Practice

  • Taxonomy Code: 1041C0700X
  • Specialty: Clinical
  • License Number: 149.017848
  • License State: IL
  • Switch: Yes

Question & Answers

What is the npi number?

  • Q: What is the npi number for Renita Shores-gaston LCSW?
  • A: The npi number for Renita Shores-gaston LCSW is 1346614435.
  • Q: What are Renita Shores-gaston LCSW's specialties?
  • A: Renita Shores-gaston LCSW's specialties are Clinical and different specialities.
  • Q: What is the medical license for Renita Shores-gaston LCSW?
  • A: The medical license number for Renita Shores-gaston LCSW is 149.017848 and issued in IL in USA.
  • Q: Where is Renita Shores-gaston LCSW practice location?
  • A: Renita Shores-gaston LCSW is practicing at 129 S Phelps Ave, Rockford, IL 61108.
  • Q: How to contact Renita Shores-gaston LCSW?
  • A: You can contact Renita Shores-gaston LCSW via 815-543-2789.