Individual
KIMBERLY KRALICKY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LICSW
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
ISW01558
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
271930
BLUE CROSS BLUE SHIELD
RI
01
—
411723
BLUECHIP
RI
01
—
6299601
UNITED BEHAVIORAL HEALTH
RI
Enumeration date
08/30/2006
Last updated
06/17/2010
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