Kimberley Jayne Parks Bourn LCSWC

NPI 1144368184 - Social Worker - 1041C0700X

NPI Details
NPI 1144368184
Gender Female
Enumeration Date 02/02/2007
Last Updated 07/08/2007
Entity Type Individual
Active Over 9 years ago
Practice Location
100 BOURBON STREET
HAVRE DE GRACE MD, 21014, US
Phone (410) 459-7609
Fax
Business Location
PO BOX 1692
BEL AIR MD, 21014, US
Phone (410) 459-7609
Fax
Toxanomy
Taxonomy Code 1041C0700X
License State Maryland
License Number 09499
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According to our database, Ms. Kimberley Jayne Parks Bourn LCSWC NPI is 1144368184, taxonomy code is 1041C0700X and license number is 09499, license state is located at Maryland. Kimberley Jayne Parks Bourn LCSWC physically located at 100 Bourbon Street, Havre De Grace MD, 21014. NPI Number Kimberley Jayne Parks Bourn LCSWC has the Individual type.

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1144368184 NPI number is provided on an as is basis without warranty of any kind. 1144368184 is maintained by the National Plan & Provider Enumeration System. The contents of Kimberley Jayne Parks Bourn LCSWC are for informational purposes only.