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Individual

KIMBERLY JEANNE ROUSSEAU

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PMHNP-BC

Contact information

Practice address
725 NORTH ST, PITTSFIELD, MA 01201-4124
(413) 447-2000
Mailing address
PO BOX 333, CHESHIRE, MA 01225-0333
(413) 212-1246

Taxonomy

Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
RN235873
MA

Other

Enumeration date
04/21/2023
Last updated
04/21/2023
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