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Individual

LATASHA KIMBROUGH

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
1415 COLLEGE DRIVE, MERIDIAN, MS 39307
(601) 483-4821
Mailing address
1415 COLLEGE DRIVE, MERIDIAN, MS 39307
(601) 483-4821

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary

Other

Enumeration date
07/16/2010
Last updated
07/16/2010
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