Individual
KIMBERLY G WENZSHERRILL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
329 MADISON ST, PADUCAH, KY 42001-0765
(270) 748-5638
(270) 499-7532
Mailing address
329 MADISON ST, PADUCAH, KY 42001-0765
(270) 748-5638
(270) 499-7532
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
3482
KY
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3482
LCSW
KY
05
—
7100277890
—
KY
Enumeration date
12/19/2006
Last updated
03/04/2019
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