Individual
KIMBERLY MARIA BOYETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
3120 N OAK STREET EXT STE B, VALDOSTA, GA 31602-5910
(229) 671-6170
Mailing address
3120 N OAK STREET EXT STE C, VALDOSTA, GA 31602-5910
(229) 671-6170
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
MSW009658
GA
Other
Enumeration date
06/07/2023
Last updated
06/07/2023
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