Doctor Name: | KIM KELLY HARRIMAN |
NPI Number: | 1003903097 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MSW, LICSW |
License Number: | 106411 |
Business Practice Address: | 135 Webster St Hanover, MA - 023391200 |
Business Phone Number: | 7819829790 |
Business Fax Number: | |
Mailing Address: | 25 Linden Ave, SCITUATE |
State: | MA |
Postal Code: | 020663905 |
Phone Number: | 7815459884 |
Fax Number: | |
NPI Enumeration Date: | 10/10/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1041C0700X |
License Number: | 106411 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MA |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Social Worker |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: | A social worker who holds a master |