Individual
KIMBERLY BIRRELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
1955 US 1 S, NFSGVHS ST. AUGUSTINE CBOC, SUITE 200, ST AUGUSTINE, FL 32086-3708
(904) 494-2841
(904) 829-0937
Mailing address
1955 US 1 S, NFSGVHS ST. AUGUSTINE CBOC, SUITE 200, ST AUGUSTINE, FL 32086-3708
(904) 494-2841
(904) 829-0937
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
6801081184
MI
Other
Enumeration date
12/14/2007
Last updated
02/05/2013
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