Individual
KIMBLEE WHITE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS/ST
Contact information
Practice address
706 ERIKA LN, GROVETOWN, GA 30813-8304
(901) 378-2447
Mailing address
706 ERIKA LN, GROVETOWN, GA 30813-8304
(901) 378-2447
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
05/23/2018
Last updated
05/23/2018
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