Individual
MS. KIMILA R. DEFLANDERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
1390 29TH AVE STE B, GULFPORT, MS 39501-1945
(601) 557-2185
(228) 220-4303
Mailing address
400 VETERANS AVE, SOCIAL WORK SERVICE #122, BILOXI, MS 39531-2410
(228) 523-5000
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
C7961
MS
Other
Enumeration date
06/10/2006
Last updated
10/08/2021
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