Individual
MRS. KIMYATTA SIMONE GIBSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
700 19TH ST S, BIRMINGHAM, AL 35233-1927
(205) 933-8101
(205) 212-3173
Mailing address
5422 BALBOA CIR, PINSON, AL 35126-3516
(205) 933-8101
(205) 212-3173
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
3695G
AL
Other
Enumeration date
04/26/2017
Last updated
04/26/2017
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