Individual
KIMBERLY WHITE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
217A MORAN AVE, MULLENS, WV 25882-1426
(304) 294-4110
(304) 294-4050
Mailing address
217A MORAN AVE, MULLENS, WV 25882-1426
(304) 294-4110
(304) 294-4050
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
06/05/2018
Last updated
09/27/2021
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