Individual
FAY KIMBRELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
1772 PRYTANIA ST, NEW ORLEANS, LA 70130-5261
(504) 905-5911
Mailing address
1772 PRYTANIA ST, NEW ORLEANS, LA 70130-5261
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
14725
LA
Other
Enumeration date
10/03/2022
Last updated
10/03/2022
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