Individual
KIMBERLY S. HISSONG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
625 W ELM AVE, HANOVER, PA 17331-5125
(717) 632-4900
Mailing address
625 W ELM AVE, HANOVER, PA 17331-5125
(717) 632-4900
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
CW018338
PA
Other
Enumeration date
02/11/2015
Last updated
03/17/2018
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