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Individual
MS. KIMBERLY A DEPATIE
Active
Individual
MS. KIMBERLY A DEPATIE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
SW10711
FL
1041C0700X
Clinical Social Worker
Primary
SW10711
FL
1041S0200X
School Social Worker
SW10711
FL
Other
Enumeration date
02/17/2012
Last updated
12/18/2012
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