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1669591525
KIM R FONSECA
SALEM, MA
NPI
1669591525
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Professional Name
KIMBERLY RENEE FONSECA
Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: MA 114781)
Enumeration Date
2007-03-29
Last Update Date
2014-07-23
Business Address
-- KIM R FONSECA LICSW
12 DEARBORN ST # 3
SALEM, MA 01970-2452
Phone number: 617-997-6854
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Mailing Address
-- KIM R FONSECA LICSW
12 DEARBORN ST # 3
SALEM, MA 01970-2452
Phone number: 617-997-6854
Copy
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