Individual
KIMBERLY PATRICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
1547 PARKWAY, SUITE 200, GREENWOOD, SC 29646-4081
(864) 223-8331
Mailing address
105 PARKER ST, ABBEVILLE, SC 29620-1729
(770) 856-9201
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
8812
SC
104100000X
Social Worker
LMSW003849
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
421504
—
SC
Enumeration date
02/02/2006
Last updated
07/08/2007
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