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Individual

MS. KIMBERLY KAY ANDERSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LISW

Contact information

Practice address
2421 CORAL COURT, SUITE #129, CORALVILLE, IA 52241
(319) 322-8887
(319) 356-2587
Mailing address
761 CAMP CARDINAL BLVD, BOX 2271, CORALVILLE, IA 52241
(319) 594-8010
(319) 356-2587

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
05940
IA
1041C0700X
Clinical Social Worker
Primary
05940
IA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0409321
IA
Enumeration date
07/11/2016
Last updated
11/19/2025
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