Individual
MR. AL NMN KIMBLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MSW
Contact information
Practice address
510 E STONER AVE, 1-N-23, SHREVEPORT, LA 71101-4243
(318) 221-8411
(318) 424-6121
Mailing address
510 E STONER AVE, 1-N-23, SHREVEPORT, LA 71101-4243
(318) 221-8411
(318) 424-6121
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
2958
LA
Other
Enumeration date
08/21/2006
Last updated
07/08/2007
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