Individual
KIMBERLY SHAW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW, LICSW
Contact information
Practice address
18 CONSTITUTION DR STE 5, BEDFORD, NH 03110-6076
(603) 472-5279
(603) 488-1682
Mailing address
18 CONSTITUTION DR STE 5, BEDFORD, NH 03110-6076
(603) 472-5279
(603) 488-1682
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
2227
NH
Other
Enumeration date
07/05/2016
Last updated
01/03/2020
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