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Contact Information

KIMBERLEY J PARKS BOURN, LCSWC
100 BOURBON STREET
HAVRE DE GRACE, MD21014
 Phone: 410-459-7609
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Clinical

1041C0700X 80 Licensed Clinical Social Worker
Indicates primary specialty

NPI Profile & details for KIMBERLEY J PARKS BOURN · (Female)

NPI # 1144368184
Status Active
Credentials LCSWC
Entity Individual
Enumeration date 02/02/2007
Last updated 07/08/2007 - About 19 years ago
Sole proprietor 1 No
Identifiers
  • MD License # 09499
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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