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1255453841
KIM SOUTHWORTH
LEBANON, NH
NPI
1255453841
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2007-04-04
Last Update Date
2007-07-08
Business Address
-- KIM SOUTHWORTH
9 HANOVER ST SUITE 2
LEBANON, NH 03766-1312
Phone number: 603-448-0126
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Mailing Address
-- KIM SOUTHWORTH
140 NORTH ST
CLAREMONT, NH 03743-2038
Phone number:
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