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Individual

KIMBERLY REPASS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
1305 DARES BEACH RD, PRINCE FREDERICK, MD 20678-4208
(443) 550-8345
Mailing address
342 ENGLISH OAK LN, PRINCE FREDERICK, MD 20678-6121

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
16778
MD

Other

Enumeration date
01/02/2019
Last updated
01/02/2019
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