Individual
KIMBERLY FAIL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LICSW
Contact information
Practice address
39 PRIVATE ROAD 1201, NEW BROCKTON, AL 36351-7910
(334) 330-0060
Mailing address
39 PRIVATE ROAD 1201, NEW BROCKTON, AL 36351-7910
(334) 330-0060
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
3537C
AL
Other
Enumeration date
03/22/2023
Last updated
03/22/2023
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