Individual
KIMBERLY NELSON-THOMAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
5452 BELMAR TER, PHILADELPHIA, PA 19143-4804
(267) 414-7830
Mailing address
5452 BELMAR TER, PHILADELPHIA, PA 19143-4804
(267) 414-7830
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
CW022404
PA
Other
Enumeration date
01/12/2022
Last updated
01/12/2022
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