Individual
KIMBERLY SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1672 COLUMBIA HWY, DOTHAN, AL 36303-5434
(334) 712-2673
Mailing address
1672 COLUMBIA HWY, DOTHAN, AL 36303-5434
(334) 712-2673
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
4056
AL
Other
Enumeration date
03/20/2019
Last updated
03/20/2019
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