Individual
KIMBERLY RASCO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
6851115052
MI
247200000X
Other Technician
Primary
R200468744552
MI
Other
Enumeration date
07/22/2016
Last updated
07/23/2025
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