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Individual
KIMBERLY BABCOCK
Active
Individual
KIMBERLY BABCOCK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LISW-S
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
0904018646
VA
104100000X
Social Worker
Primary
I2203995-SUPV
OH
1041C0700X
Clinical Social Worker
I.2203995-SUPV
OH
1041C0700X
Clinical Social Worker
LCSW00001046
KY
Other
Enumeration date
06/20/2024
Last updated
03/09/2026
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