Individual
MS. KIMBERLY MINTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
1 RICHMOND SQ STE 350W, PROVIDENCE, RI 02906-5165
(401) 441-5834
(401) 210-8248
Mailing address
17 WARREN CT, CRANSTON, RI 02920-1542
(907) 854-5362
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
122302
MA
1041C0700X
Clinical Social Worker
Primary
ISW03721
RI
Other
Enumeration date
10/23/2014
Last updated
04/07/2025
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