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Individual
KIMBERLY L KONDERLA
Active
Individual
KIMBERLY L KONDERLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW, LCSW
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
C014277
NC
Other
Enumeration date
09/28/2018
Last updated
04/08/2025
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