Individual
MRS. KIMBERLY SHERE BENNETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
282 GUTHRIE CARTER RD, MOSELLE, MS 39459-9561
(166) 259-0512
Mailing address
282 GUTHRIE CARTER RD, MOSELLE, MS 39459-9561
(166) 259-0512
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
C9000
MS
Other
Enumeration date
03/27/2023
Last updated
03/27/2023
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