Individual
MS. KIMBERLY DAWN DAUGHERTY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW
Contact information
Practice address
2430 POPLAR AVE, MEMPHIS, TN 38112-3246
(901) 271-5481
(901) 324-9114
Mailing address
2430 POPLAR AVE, MEMPHIS, TN 38112-3246
(901) 271-5481
(901) 324-9114
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
06/25/2007
Last updated
07/08/2007
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