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1972055564
KIMBERLEY IRENE NUSBAUM
VANCOUVER, WA
NPI
1972055564
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: WA LW61294719)
Enumeration Date
2016-10-29
Last Update Date
2022-09-30
Business Address
KIMBERLEY IRENE NUSBAUM LICSW
2502 E FOURTH PLAIN BLVD
VANCOUVER, WA 98661-3965
Phone number: 360-831-0904
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Mailing Address
KIMBERLEY IRENE NUSBAUM LICSW
PO BOX 34703
SEATTLE, WA 98124-1703
Phone number: 253-681-6603
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