Individual
KIMBERLY NICOLE REZARCH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
804 KELLOGG AVE, YOUTH RECOVERY HOUSE, AMES, IA 50010-6234
(515) 233-4930
Mailing address
PO BOX 273, KELLEY, IA 50134-0273
(515) 291-0254
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
006848
IA
Other
Enumeration date
05/07/2007
Last updated
07/08/2007
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