Individual
KIMBERLEY PASSIDOMO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
600 HAVERFORD RD STE G101, HAVERFORD, PA 19041-1139
(610) 649-1080
Mailing address
5320 WEBSTER ST, PHILADELPHIA, PA 19143-2629
(267) 575-3946
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
CW019199
PA
Other
Enumeration date
09/09/2025
Last updated
09/09/2025
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