Individual
KIMBERLY NICOLE DE LEON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3104 18TH AVE, SCOTTSBLUFF, NE 69361-1814
(956) 877-5770
Mailing address
4215 AVENUE I, SCOTTSBLUFF, NE 69361-4902
Taxonomy
Speciality
Code
Description
License number
State
1041S0200X
School Social Worker
Primary
—
—
Other
Enumeration date
10/14/2022
Last updated
10/14/2022
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