Individual
KIMBERLY KAYE TAGHZOUIT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
400 VETERANS AVE, BILOXI, MS 39531-2410
(805) 760-7116
Mailing address
126 REYNOIR ST APT 5, BILOXI, MS 39530-4143
(805) 760-7116
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
50456
TX
Other
Enumeration date
07/19/2012
Last updated
09/16/2014
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