Individual
KIMBERLY L HEBERT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
770 BAYOU PINES EAST DR, LAKE CHARLES, LA 70601-7184
(337) 477-4770
(337) 477-0508
Mailing address
770 BAYOU PINES EAST DR, LAKE CHARLES, LA 70601-7184
(337) 477-4770
(337) 477-0508
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
10129
LA
Other
Enumeration date
12/06/2012
Last updated
04/02/2020
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