Individual
MS. KIMBERLY CARVALLISON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
1-16-21732
CA
1041S0200X
School Social Worker
Primary
25721
CA
1041S0200X
School Social Worker
—
—
Other
Enumeration date
02/19/2007
Last updated
09/28/2020
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