Individual
KIMBERLY SUCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LSW
Contact information
Practice address
700 HERITAGE COURT, PENNINGTON, NJ 08534
(609) 267-5928
Mailing address
770 WOODLANE RD, MOUNT HOLLY, NJ 08060
(609) 267-5928
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
44SL05770500
NJ
104100000X
Social Worker
SW128453
PA
Other
Enumeration date
07/11/2014
Last updated
07/11/2014
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