Individual
KIMBERLY NISSIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
345 MONTGOMERY AVE, BALA CYNWYD, PA 19004-2801
(267) 788-5025
Mailing address
345 MONTGOMERY AVE, BALA CYNWYD, PA 19004-2801
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
CW022172
PA
171M00000X
Case Manager/Care Coordinator
—
—
Other
Enumeration date
08/23/2016
Last updated
06/21/2022
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