Individual
KIMBERLY ALLEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
22689 HIGHWAY 63, LEAKESVILLE, MS 39451-5662
(601) 394-5600
Mailing address
33 CHARLESTON WAY, HATTIESBURG, MS 39402-7553
(601) 270-0718
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
5830
TN
1041C0700X
Clinical Social Worker
C6843
MS
Other
Enumeration date
04/25/2017
Last updated
04/25/2017
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