| Kimberly D Nielsen, Pllc | |
|
15396 N 83rd Ave Ste F101 Peoria AZ 85381-5629 | |
| (623) 640-7940 | |
| Not Available |
| Full Name | Kimberly D Nielsen, Pllc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 15396 N 83rd Ave Ste F101, Peoria, Arizona |
| Authorized Official Name and Position | Kimberly Dawn Nielsen (CHILD AND FAMILY THERAPIST) |
| Authorized Official Contact | 6236407940 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Kimberly D Nielsen, Pllc 15396 N 83rd Ave Ste F101 Peoria AZ 85381-5629 Ph: (623) 640-7940 | Kimberly D Nielsen, Pllc 15396 N 83rd Ave Ste F101 Peoria AZ 85381-5629 Ph: (623) 640-7940 |
| NPI Number | 1770853301 |
|---|---|
| Provider Enumeration Date | 01/12/2012 |
| Last Update Date | 01/12/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1770853301 | NPI | - | NPPES |
| 1922143833 | Other | AZ | INDIVIDUAL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | LCSW1099 (Arizona) | Primary |
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