Organization
KIMBERLY M SPADER PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KIMBERLY M SPADER LCSW (THERAPIST)
(617) 314-5345
Entity
Organization
Contact information
Practice address
725 WELLINGTON AVE, WILMINGTON, NC 28401-7652
(910) 685-6223
Mailing address
2403 WHITE RD, WILMINGTON, NC 28411-6542
(617) 314-5345
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
C008069
NC
Other
Enumeration date
01/20/2016
Last updated
01/20/2016
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