Provider Information for 1629305396
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KIMBERLY DAWN REAM M.Ed, LPC, LMFT
Sex: Female
NPI: 1629305396
Last Updated: 2012-05-31
Certification Date:
Certification Date:
Details
| Name | Value | ||||||||||||
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| NPI | 1629305396 | ||||||||||||
| Enumeration Date | 2009-11-17 | ||||||||||||
| NPI Type | NPI-1 Individual | ||||||||||||
| Sole Proprietor | NO | ||||||||||||
| Status | Active | ||||||||||||
| Mailing Address | 1321 S ARLINGTON AVE SEDALIA, MO 65301-6447 United States Phone: 660-221-7432 | Fax: | ||||||||||||
| Primary Practice Address | 121 E BROADWAY BLVD SEDALIA, MO 65301-5800 United States Phone: 660-221-7432 | Fax: | ||||||||||||
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