Provider Information for 1417126863
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KIMBERLY JANE ROWE LCPC
Sex: Female
NPI: 1417126863
Last Updated: 2009-03-24
Certification Date:
Certification Date:
Details
| Name | Value | ||||||||
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| NPI | 1417126863 | ||||||||
| Enumeration Date | 2008-02-29 | ||||||||
| NPI Type | NPI-1 Individual | ||||||||
| Sole Proprietor | YES | ||||||||
| Status | Active | ||||||||
| Mailing Address | 16460 HEATHER RIDGE RD HAGERSTOWN, MD 21740-1008 United States Phone: 240-520-5452 | Fax:509-752-4845 | ||||||||
| Primary Practice Address | 920 W WASHINGTON ST SUITE 206B HAGERSTOWN, MD 21740-2800 United States Phone: 240-520-5452 | Fax:509-752-4845 | ||||||||
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