Individual
KIMBERLY WHITE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
624 9TH AVE, HUNTINGTON, WV 25701
(304) 429-6755
Mailing address
624 9TH ST, HUNTINGTON, WV 25701-2122
(304) 429-6755
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
CP00942906
WV
Other
Enumeration date
06/03/2021
Last updated
06/03/2021
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