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1144613647
KIMBERLY SHANTIA LONDON
WILMINGTON, DE
NPI
1144613647
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Other Name
KIMBERLY SHANTIA LONDON
Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2015-03-09
Last Update Date
2015-03-09
Business Address
Miss KIMBERLY SHANTIA LONDON MSW
903 W 34TH ST
WILMINGTON, DE 19802-2527
Phone number: 609-649-6190
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Mailing Address
Miss KIMBERLY SHANTIA LONDON MSW
903 W 34TH ST
WILMINGTON, DE 19802-2527
Phone number: 609-649-6190
Copy
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