Individual
KIMBERLY OSBORNE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.A., ED.S., LMFT
Contact information
Practice address
615 FRANKLIN TPKE, RIDGEWOOD, NJ 07450-1903
(201) 857-0080
Mailing address
615 FRANKLIN TPKE, RIDGEWOOD, NJ 07450-1903
(201) 857-0073
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
37FI00168700
NJ
Other
Enumeration date
04/18/2012
Last updated
04/23/2012
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