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Individual
MRS. KIM RENEE SHEROW
Active
Individual
MRS. KIM RENEE SHEROW
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
171M00000X
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
171M0000X
OTHER SERVICE PROVIDERS
CA
Enumeration date
12/17/2008
Last updated
12/17/2008
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