Individual
KIMBERLIE N DAVIDSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC-A
Contact information
Practice address
105 N KINGS DR, FOUNTAIN INN, SC 29644-9459
(828) 273-6234
Mailing address
105 N KINGS DR, FOUNTAIN INN, SC 29644-9459
(828) 273-6234
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
10097
SC
Other
Enumeration date
09/16/2024
Last updated
09/16/2024
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