Individual
MS. KIMBERLEE RENE HEENAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LICSW
Contact information
Practice address
3 HUGHES LN, GREENLAND, NH 03840-2358
(603) 475-2118
Mailing address
3 HUGHES LN, GREENLAND, NH 03840-2358
(603) 475-2118
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1500
LICSW
NH
Enumeration date
08/25/2022
Last updated
08/25/2022
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