Individual
KIMBERLY MICHELLE HORTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
102 CRABAPPLE GRV, MADISON, MS 39110-7098
(601) 918-8041
Mailing address
PO BOX 321, FLORA, MS 39071-0321
(601) 918-8041
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
C7774
MS
Other
Enumeration date
03/19/2019
Last updated
03/19/2019
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