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Individual
MS. KIMBERLY MEG SHEWMAKER
Active
Individual
MS. KIMBERLY MEG SHEWMAKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW, CAADC, CCDP-D
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
10004
MI
1041C0700X
Clinical Social Worker
Primary
6801070706
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2595664
—
MI
Enumeration date
11/19/2007
Last updated
02/17/2022
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