Individual
MRS. KIMBERLY KATHRYN CHILDERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S., C.G.C.
Contact information
Practice address
181 S BUENA VISTA ST, BURBANK, CA 91505-4504
(818) 748-4762
(818) 748-4711
Mailing address
181 S BUENA VISTA ST, BURBANK, CA 91505-4504
(818) 748-4761
(818) 748-4711
Taxonomy
Speciality
Code
Description
License number
State
170300000X
Genetic Counselor (M.S.)
246.000119
IL
170300000X
Genetic Counselor (M.S.)
Primary
GC000547
CA
Other
Enumeration date
11/07/2011
Last updated
11/17/2014
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