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NPI 1295869691

NPI 1295869691 : MS. KIMBERLEE F. COMERFORD : HADDON HEIGHTS, NJ

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General NPI Number Information
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    NPI Number           |    1295869691
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    Entity Type          |    Individual 
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    Provider Name        |    MS. KIMBERLEE F. COMERFORD
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    03/15/2007
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    Last Update Date     |    08/09/2025
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Provider Practice Location Address
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    Address Line         |    6 WHITE HORSE PIKE STE 1B 
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    City                 |    HADDON HEIGHTS
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    State                |    NJ
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    Zip                  |    08035
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    Country              |    US
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    Telephone            |    609-458-2799
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    43 MICHAELSON DR 
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    City                 |    MOUNT LAUREL
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    State                |    NJ
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    Zip                  |    08054-1355
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    Country              |    US
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    Telephone            |    609-458-2799
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    Fax                  |    
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Authorized Official
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    Title or Position    |    
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    Name                 |        
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    Credential           |    
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    Telephone            |    
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    106H00000X
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    Taxonomy Name        |    Marriage & Family Therapist
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    License Number       |    
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    License Number State |    
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Taxonomy #2
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    Taxonomy Code        |    1041C0700X
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    Taxonomy Name        |    Clinical Social Worker
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    License Number       |    44SC01173000
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    License Number State |    NJ
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