Individual
KIMBERLY BLACKWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
PO BOX 55310, BIRMINGHAM, AL 35255-5310
(205) 934-0609
Mailing address
PO BOX 55310, BIRMINGHAM, AL 35255-5310
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
6175C
AL
Other
Enumeration date
04/04/2025
Last updated
04/04/2025
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