Individual
KIMBERLY LANE DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
110 MEDICAL CENTER DR, CLANTON, AL 35045-2332
(205) 982-3187
(205) 755-8882
Mailing address
PO BOX 689, CALERA, AL 35040-0689
(205) 982-3187
(205) 755-8882
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
1911C
AL
Other
Enumeration date
12/04/2006
Last updated
01/25/2008
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