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1245930411
KIMBERLY DIVINE
SPRING HILL, KS
NPI
1245930411
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101Y00000X Counselor
(Licence: KS 04264)
Enumeration Date
2023-03-07
Last Update Date
2023-03-07
Business Address
Ms. KIMBERLY DIVINE LPC
21901 S VICTORY RD
SPRING HILL, KS 66083-9660
Phone number: 913-357-5381
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Mailing Address
Ms. KIMBERLY DIVINE LPC
10408 W 70TH TER APT 201
SHAWNEE, KS 66203-4267
Phone number: 620-794-3619
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