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Individual

KIM W. DALTON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MS

Contact information

Practice address
5405 JONESTOWN RD, SUITE 103, HARRISBURG, PA 17112-4021
(717) 558-9211
(717) 671-9524
Mailing address
3654 DERRY ST, HARRISBURG, PA 17111-1919
(717) 558-9211
(717) 671-9524

Taxonomy

Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PS005482L
PA

Other

Enumeration date
11/01/2006
Last updated
07/08/2007
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