Individual
MISS KIMBERLY ANN CROSS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
433 MAYVIEW DR, CREEDMOOR, NC 27522-7002
(919) 341-4998
Mailing address
433 MAYVIEW DR, CREEDMOOR, NC 27522-7002
(919) 341-4998
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
C003274
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6003119
—
NC
Enumeration date
09/26/2006
Last updated
07/08/2007
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