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Individual
MISS KIM NICOLE GOLDHAMER
Active
Individual
MISS KIM NICOLE GOLDHAMER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.I.S.W. I.C.D.C.
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
0005328
OK
Other
Enumeration date
07/21/2006
Last updated
07/08/2007
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