KIM R FONSECA

SALEM, MA
NPI1669591525
Professional NameKIMBERLY RENEE FONSECA
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: MA  114781)
Enumeration Date2007-03-29
Last Update Date2014-07-23
Business Address
-- KIM R FONSECA LICSW
12 DEARBORN ST # 3
SALEM, MA 01970-2452
Phone number: 617-997-6854
Mailing Address
-- KIM R FONSECA LICSW
12 DEARBORN ST # 3
SALEM, MA 01970-2452
Phone number: 617-997-6854
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