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Individual

MRS. KIMBERLY HARRISON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LCSW

Contact information

Practice address
629 CEDAR CREEK GRADE STE C2, WINCHESTER, VA 22601-2786
(540) 450-2782
(540) 450-2783
Mailing address
629 CEDAR CREEK GRADE STE C2, WINCHESTER, VA 22601-2786
(540) 450-2782
(540) 450-2783

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
0904009701
VA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
600885159
VA
Enumeration date
10/02/2017
Last updated
10/02/2017
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