Kim Rynearson Antonell, LICSW
NPI #1801361548 in Wayland, Massachusetts
Provider Information
- NPI Number
- 1801361548
- Entity Type
- Individual
- Name
- Kim Rynearson Antonell, LICSW
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Social Worker - Clinical
- Credential
- LICSW
- Enumeration Date
- Oct 9, 2018
- Last Updated
- Oct 9, 2018
Practice Location
- Address
- 1 WILDFLOWER LN
- City
- Wayland
- State
- Massachusetts
- ZIP Code
- 01778-2332
- Phone
- (508) 561-9002
Specialties & Taxonomy Codes
| Specialty |
|---|
| Social Worker - Clinical — Clinical |
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