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Individual
MRS. KIMBERLEE YSELONIA
Active
Individual
MRS. KIMBERLEE YSELONIA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
SW 10934
FL
174400000X
Specialist
888732200
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
811740300
—
FL
Enumeration date
01/22/2007
Last updated
05/10/2013
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