Individual
KIMBERLY SUN MUELLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LICSW
Contact information
Practice address
4 BICENTENNIAL SQ UNIT 2A, CONCORD, NH 03301-4069
(808) 234-4777
Mailing address
PO BOX 508, CONTOOCOOK, NH 03229-0508
(808) 234-4777
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
1881
NH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1285959536
ANTHEM
NH
01
—
13612755
CAQH
NH
05
—
3101859
—
NH
01
—
KBHTLLC
OPTUM
NH
Enumeration date
03/30/2010
Last updated
11/09/2022
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