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Individual

MRS. KIMBERLY BARRAGAN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MSW, LCSW

Contact information

Practice address
72 FORREST ST, FORT LEONARD WOOD, MO 65473-1296
(314) 540-5933
Mailing address
72 FORREST ST, FORT LEONARD WOOD, MO 65473-1296
(314) 540-5933

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
2009004614
MO

Other

Enumeration date
04/13/2009
Last updated
04/13/2009
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