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Individual
KIBBEE I NEWSOME
Active
Individual
KIBBEE I NEWSOME
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW, LCAS
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
2960-A
NC
1041C0700X
Clinical Social Worker
Primary
C009076
NC
1041C0700X
Clinical Social Worker
P007298
NC
Other
Enumeration date
06/20/2012
Last updated
03/17/2018
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