Kimberly Ann Tack
Kimberly Ann Tack is a Counselor in Providence, Rhode Island. Registered with an NPI since 2018.
- In the registry since
- 2018
Practice location Address checks out
530 N Main StProvidence, RI 02904-5762
Phone: (401) 276-4020
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Specialties & licences
| Counselor (primary) | Taxonomy 101Y00000X |
|---|
Record details
| NPI number | 1326546318 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | January 25, 2018 |
| Last updated in NPPES | January 25, 2018 |
| Mailing address | 530 N Main St, Providence, RI 02904-5762 |
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