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Individual

KIMBERLY ANN FELDER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
6100 DAYLONG LN, CLARKSVILLE, MD 21029-1626
(410) 531-8100
Mailing address
7417 HICKORY LOG CIR, COLUMBIA, MD 21045-5065
(443) 538-5100

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
24106
MD

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
08301994
MD
Enumeration date
02/12/2020
Last updated
05/11/2026
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