Individual
KIMBERLY POGUE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1997 HIGHWAY 51 S, COVINGTON, TN 38019-3630
(901) 476-8967
Mailing address
1997 HIGHWAY 51 S, COVINGTON, TN 38019-3630
(901) 476-8967
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
MH0001604
FL
Other
Enumeration date
04/12/2016
Last updated
04/12/2016
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