Organization Name: | KIM COMERFORD LLC |
NPI Number: | 1154674695 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | KIMBERLEE F COMERFORD (OWNER) |
Mailing Address: | 8 Kings Hwy E Suite 2 Haddonfield |
State: | NJ US |
Postal Code: | 080332002 |
Phone Number: | 6094582799 |
Fax Number: | 8669299873 |
NPI Enumeration Date: | 10/22/2012 |
NPI Last Update Date: | 07/25/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1041C0700X |
License Number: | 44SC01173000 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NJ |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Social Worker |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: | A social worker who holds a master |