Individual
MS. KIMBERLY ELLYN COHEN WASSERMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
99 CENTRAL AVE, ASHLAND, OR 97520-1787
(541) 482-9741
(541) 488-6141
Mailing address
900 E MAIN ST, MEDFORD, OR 97504-7136
(541) 200-6854
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
L2754
OR
Other
Enumeration date
07/22/2009
Last updated
08/01/2019
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