Individual
KIMBERLY PAGE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
326 WINDHAVEN BAY, MT JULIET, TN 37122-6913
(615) 483-0952
Mailing address
326 WINDHAVEN BAY, MT JULIET, TN 37122-6913
(615) 483-0952
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LSW0000003544
TN
Other
Enumeration date
05/06/2020
Last updated
05/06/2020
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