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Individual
KIMBERLY QUALLS
Active
Individual
KIMBERLY QUALLS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
1041C0700X
Clinical Social Worker
5537C
AL
1041C0700X
Clinical Social Worker
6801115319
MI
1041C0700X
Clinical Social Worker
Primary
C8737
MS
1041C0700X
Clinical Social Worker
L15715
OR
1041C0700X
Clinical Social Worker
LCSW128600
CA
1041C0700X
Clinical Social Worker
LICSW1143706
MA
1041C0700X
Clinical Social Worker
SWI.LW.61587646
WA
Other
Enumeration date
01/06/2016
Last updated
09/01/2026
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