Individual
FAY MAXINE KIMBRELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
2000 CANAL ST., NEW ORLEANS, LA 70112
(504) 702-4361
(504) 568-4661
Mailing address
2319 MAGAZINE ST., NEW ORLEANS, LA 70130
(504) 858-6056
(504) 568-4661
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
2262
LA
Other
Enumeration date
08/16/2007
Last updated
11/02/2023
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