Individual
KIMBERLY DENISE YORK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSSA, MNO, LISW
Contact information
Practice address
254 MERIDA DR, ANTHONY, NM 88021-8225
(575) 312-0533
Mailing address
1300 EL PASEO RD # G221, LAS CRUCES, NM 88001-6024
(575) 312-0533
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
I-09436
NM
Other
Enumeration date
04/20/2016
Last updated
04/20/2016
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