Individual
KIMBELL BINGHAM WATERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
1036 MANSHIP ST, JACKSON, MS 39202-2132
(601) 533-7017
Mailing address
1036 MANSHIP ST, JACKSON, MS 39202-2132
(601) 533-7017
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
C8725
MS
Other
Enumeration date
03/01/2023
Last updated
01/22/2025
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