Individual
KIMBERLEE K OLIVER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSW, LCSW
Contact information
Practice address
601 W NIFONG BLVD STE 5A, COLUMBIA, MO 65203-6804
(573) 356-7952
Mailing address
400 HIRTH AVE, COLUMBIA, MO 65203-2618
(573) 449-8884
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
11588378
CAQH
MO
Enumeration date
08/01/2005
Last updated
07/09/2007
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