Individual
KIMBERLY MARIE METCALF
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
7165-G GETWELL RD., SOUTHAVEN, MS 38672
(662) 349-2818
Mailing address
7165-G GETWELL RD., SOUTHAVEN, MS 38672
(662) 349-2818
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
5195
TN
1041C0700X
Clinical Social Worker
7521
WI
Other
Enumeration date
12/06/2006
Last updated
01/07/2010
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