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Individual
MS. KIMBERLY V YATES
Active
Individual
MS. KIMBERLY V YATES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW-R
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
R073109-1
NY
1041C0700X
Clinical Social Worker
—
—
1041S0200X
School Social Worker
R073109-1
NY
Other
Enumeration date
01/02/2012
Last updated
03/29/2021
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