Individual
KIMBERLY A. VERDEJO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
915 TINY TOWN RD, CLARKSVILLE, TN 37042-7663
(931) 553-6981
(931) 553-6982
Mailing address
210 QUAIL RIDGE RD, CLARKSVILLE, TN 37042-7385
(931) 645-5406
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
LSW0000004048
TN
Other
Enumeration date
05/26/2006
Last updated
11/30/2011
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