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1124531876
KIMBERLY CONNOLLY
RENO, NV
NPI
1124531876
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor Addiction (Substance Use Disorder)
(Licence: NV 00468-C)
Enumeration Date
2017-11-15
Last Update Date
2017-11-15
Business Address
KIMBERLY CONNOLLY
160 HUBBARD WAY STE A
RENO, NV 89502-3780
Phone number: 775-829-4472
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Mailing Address
KIMBERLY CONNOLLY
PO BOX 897
BOISE, ID 83701-0897
Phone number:
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