Individual
MS. KIMBERLY ANN SHEREN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
007416
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
007416
CT LICENSE
CT
Enumeration date
10/25/2010
Last updated
08/15/2014
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