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Individual

KIMBERLY SHELTON-HUDGINS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LCSW

Contact information

Practice address
218 5TH ST S, COLUMBUS, MS 39701-5730
(662) 368-8853
Mailing address
1390 29TH AVE STE B, GULFPORT, MS 39501-1945
(228) 220-4226
(228) 220-4303

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
C7436
MS

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
M7436
BLUE CROSS
MS
Enumeration date
01/31/2008
Last updated
10/25/2022
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