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General NPI Number Information
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NPI Number | 1518344340
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Entity Type | Organization
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Legal Business Name | KIM BURKLAND-WARD, LICSW, P.L.L.C
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Dates
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Enumeration Date | 04/30/2015
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Last Update Date | 10/22/2024
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Provider Practice Location Address
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Address Line | 154 BROAD ST STE 1511
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City | NASHUA
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State | NH
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Zip | 03063-3205
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Country | US
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Telephone | 603-521-7806
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Fax |
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Provider Business Mailing Address
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Address Line | 154 BROAD ST STE 1511
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City | NASHUA
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State | NH
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Zip | 03063-3205
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Country | US
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Telephone | 603-521-7806
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | KIM BURKLAND-WARD
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Credential | LICSW
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Telephone | 603-521-7806
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 1840
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License Number State | NH
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