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Individual
KIMBERLY DOW
Active
Individual
KIMBERLY DOW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PMHNP-BC
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
120808
MA
172V00000X
Community Health Worker
221100
MA
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
95020721
CA
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
RN2342534
MA
Other
Enumeration date
02/21/2017
Last updated
06/08/2022
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