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NPI Code Detail

MEDICARE: KIMBERLY CLARY-BRITANAK MSW, LCSW

MEDICARE: KIMBERLY CLARY-BRITANAK MSW, LCSW
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11041C0700XClinical Social Worker44SC05247900NJ

General Provider Information

NPI Number : 1093827594
Entity Type Code : Individual
Provider Name (Legal Business Name) : KIMBERLY CLARY-BRITANAK MSW, LCSW
Provider Business Mailing Address
First Line : 224 DUKES PKWY E
Second Line :
City : HILLSBOROUGH
State : NJ
Zip : 08844-4205
Country : US
Telephone Number : 908-208-4206
Fax Number : 908-526-3397
Provider Business Practice Location Address
First Line : 39 TAMARACK CIR
Second Line :
City : SKILLMAN
State : NJ
Zip : 08558-2019
Country : US
Telephone Number : 908-208-4206
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/31/2006
Last Update Date : 07/08/2007

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