Individual
MRS. KIMBERLY DANIELLE MCDANIEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
6560 POPLAR AVE, MEMPHIS, TN 38138-3656
(901) 767-8511
Mailing address
6538 PALACE VIEW LN, MEMPHIS, TN 38134-7977
(901) 381-2777
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
1829-C
AR
Other
Enumeration date
09/07/2006
Last updated
05/31/2013
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