Individual
KIMBERLY LOVELADY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
460 N PARKWAY, JACKSON, TN 38305-2818
(731) 554-0460
Mailing address
203 TURTLE CREEK DR, JACKSON, TN 38305-1785
(314) 313-2722
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
12316
TN
172V00000X
Community Health Worker
—
—
174H00000X
Health Educator
—
—
Other
Enumeration date
08/05/2019
Last updated
08/05/2019
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