Individual
KIMBERLY MARIE ANDERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA CAGS
Contact information
Practice address
951 CENTER ST, LUDLOW, MA 01056-1110
(978) 660-0423
Mailing address
951 CENTER ST, LUDLOW, MA 01056-1110
(978) 660-0423
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
7172
MA
1041S0200X
School Social Worker
393659
MA
Other
Enumeration date
03/20/2007
Last updated
01/23/2012
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