Individual
MRS. KIMBERLY L SMILEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
303 DR MARTIN LUTHER KING JR BLVD N, LAKE WALES, FL 33853-3647
(352) 405-5935
Mailing address
1014 ROBERTA RD, LAKE WALES, FL 33853-2721
(863) 559-9449
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
MT4628
FL
Other
Enumeration date
06/19/2023
Last updated
06/19/2023
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