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Individual
KIMBERLY CHASE
Active
Individual
KIMBERLY CHASE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW, LCSW-C
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
44SL05770400
NJ
1041C0700X
Clinical Social Worker
Primary
23217
MD
1041C0700X
Clinical Social Worker
44SC05730600
NJ
1041C0700X
Clinical Social Worker
CSW006090
GA
Other
Enumeration date
04/18/2012
Last updated
01/24/2020
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