Kimberly Berry
Social Worker, Clinical in St Charles, IL. Individual provider (NPI-1).
NPI number1164074118
StatusActive
Last updated in NPPESJul 10, 2019
Details
- NPI
- 1164074118
- Entity type
- Individual (NPI-1)
- Name
- Kimberly Berry
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Jul 10, 2019
- Last updated
- Jul 10, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1041C0700X | Social Worker, Clinical | 149015088 | IL | Yes |
Practice location
103 N 11th Ave Ste 239St Charles, IL 60174-2289
Phone 262-290-5226
Mailing address
3n730 Norris AveWest Chicago, IL 60185-1136
Phone 622-905-2262
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