Individual
MS. KIMBERLY KNIGHT MOORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
1500 EAST WOODROW WILSON DR, JACKSON, MS 39216
(601) 362-4471
(601) 368-4093
Mailing address
500 SPRINGHILL XING, BRANDON, MS 39047-5019
(601) 212-7078
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
M6610
MS
1041C0700X
Clinical Social Worker
Primary
C6610
MS
Other
Enumeration date
11/08/2006
Last updated
12/02/2024
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