Individual
KIMBERLY KAY MARSH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
1608 4TH AVE SE, DECATUR, AL 35601-4904
(256) 340-9233
Mailing address
1608 4TH AVE SE, DECATUR, AL 35601-4904
(205) 240-7885
(256) 340-9335
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
4883G
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4883G
LMSW
AL
Enumeration date
10/23/2019
Last updated
10/23/2019
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