Individual
KIMBERLY KEPNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
12 DEER PATH DR, BERWICK, PA 18603-5108
(570) 764-7594
Mailing address
12 DEER PATH DR, BERWICK, PA 18603-5108
(570) 764-7594
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
SW136362
PA
1041C0700X
Clinical Social Worker
Primary
CW025093
PA
1041S0200X
School Social Worker
SW136362
PA
Other
Enumeration date
06/12/2023
Last updated
09/27/2024
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