Kimberly Fasoli

NPI #1366892655 in Wellfleet, Massachusetts

Provider Information

NPI Number: 1366892655
Entity Type: Individual
Name: Kimberly Fasoli
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Social Worker - Clinical
Enumeration Date: Jun 16, 2016
Last Updated: Sep 24, 2021

Practice Location

Address: U.S 6
City: Wellfleet
State: Massachusetts
ZIP Code: 02667
Phone: (774) 722-2149

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Marriage & Family Therapist	106H00000X
Social Worker - Clinical — Clinical	1041C0700X	Primary

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