Individual
MS. LAKEIDRA T MIMS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
UAB COMMUNITY PSYCHIATRY 908 20TH STREET SOUTH RM 487, BIRMINGHAM, AL 35294-2610
(205) 934-1379
Mailing address
CCB 4FL 1720 2ND AVE S, BIRMINGHAM, AL 35294-2050
(205) 975-8950
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
4449G
AL
Other
Enumeration date
08/17/2018
Last updated
08/17/2018
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