Organization
KIMILA DEFLANDERS LCSW LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. KIMILA DEFLANDERS LCSW (OWNER/THERAPIST)
(601) 557-2185
Entity
Organization
Contact information
Practice address
1390 29TH AVE STE B, GULFPORT, MS 39501-1945
(601) 557-2185
(228) 220-4303
Mailing address
PO BOX 8024, BILOXI, MS 39535-8024
(601) 557-2185
(228) 220-4303
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
07/17/2019
Last updated
05/23/2022
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