Individual
KIMBERLY SHERI DANIELS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3520 MANOR DR STE 5, VICKSBURG, MS 39180-5693
(601) 738-5260
Mailing address
860 E RIVER PL STE 100, JACKSON, MS 39202-3442
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
10/09/2018
Last updated
10/09/2018
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