Individual
MRS. LISA KIM KIMBERLY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
275 CUMBERLAND BND, NASHVILLE, TN 37228-1805
(615) 743-1437
Mailing address
275 CUMBERLAND BND, NASHVILLE, TN 37228-1805
(615) 743-1437
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
CSW0000007069
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CSW0000007069
LCSW
TN
Enumeration date
05/15/2009
Last updated
05/15/2009
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