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Individual
KIMBERLY RUSSELL HAYES
Active
Individual
KIMBERLY RUSSELL HAYES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
C005359
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
14248
BCBS
NC
05
—
6106457
—
NC
01
—
E4158-B0775
MEDCOST
NC
Enumeration date
07/18/2006
Last updated
02/06/2013
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