Kimberly Shana Segal
Social Worker, Clinical in Haverhill, MA. Individual provider (NPI-1).
NPI number1093291007
StatusActive
Last updated in NPPESJul 12, 2018
Details
- NPI
- 1093291007
- Entity type
- Individual (NPI-1)
- Name
- Kimberly Shana Segal
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jul 12, 2018
- Last updated
- Jul 12, 2018
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1041C0700X | Social Worker, Clinical | 111140 | MA | Yes |
Practice location
76 Summer StHaverhill, MA 01830-5814
Phone 978-556-8222
Mailing address
76 Summer StHaverhill, MA 01830-5814
Phone 978-556-8222
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