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1881832111
KIMBERLEY ANN PETERSON
FORT CAMPBELL, KY
NPI
1881832111
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: MA 113741)
Enumeration Date
2009-01-23
Last Update Date
2009-01-23
Business Address
-- KIMBERLEY ANN PETERSON MSW, LICSW
650 JOEL DR
FORT CAMPBELL, KY 42223-5318
Phone number: 508-736-5699
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Mailing Address
-- KIMBERLEY ANN PETERSON MSW, LICSW
650 JOEL DR
FORT CAMPBELL, KY 42223-5318
Phone number: 508-736-5699
Copy
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