Individual
KIMBERLY R HACKENBERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
693 LEESVILLE RD, LYNCHBURG, VA 24502-2828
(434) 200-1129
Mailing address
693 LEESVILLE RD, LYNCHBURG, VA 24502-2828
(434) 200-1129
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
0904018461
VA
Other
Enumeration date
06/16/2025
Last updated
06/16/2025
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