KIMBERLY SOUTHWORTH

TROY, NY
NPI1831635010
Former NameKIMBERLY WALL
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: NY  72 096257)
Enumeration Date2017-01-12
Last Update Date2017-01-12
Business Address
Mrs. KIMBERLY SOUTHWORTH
1801 6TH AVE
TROY, NY 12180-3478
Phone number: 518-545-0258
Mailing Address
Mrs. KIMBERLY SOUTHWORTH
6632 MIDDLE GROVE RD
MIDDLE GROVE, NY 12850-2413
Phone number: 518-424-4642
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