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Individual

KRISTINA LYNN KIMERY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MSW, CSW, LMSW

Contact information

Practice address
113 COMANCHE RD, FORT MEADE, SD 57741-1002
(605) 720-7044
Mailing address
113 COMANCHE RD, FORT MEADE, SD 57741-1002
(605) 720-7044
(605) 720-7249

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
122381
NY
104100000X
Social Worker
Primary
6475
SD
1041C0700X
Clinical Social Worker
122381
NY
1041C0700X
Clinical Social Worker
Primary
6475
SD

Other

Enumeration date
05/12/2021
Last updated
04/22/2026
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