Individual
KIMBERLEY SIMON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
404 C MILLER AVENUE, TYBEE ISLAND, GA 31328
(330) 550-3347
Mailing address
PO BOX 1782, TYBEE ISLAND, GA 31328-1782
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
CSW004497
GA
1041C0700X
Clinical Social Worker
I1000299
OH
Other
Enumeration date
11/16/2010
Last updated
04/23/2024
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