Organization
KIMBERLY SAULS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KIMBERLY C SAULS LCSW (OWNER/PROVIDER)
(601) 749-9477
Entity
Organization
Contact information
Practice address
1839 COOPER RD STE D, PICAYUNE, MS 39466-2836
(601) 749-9477
(601) 749-0605
Mailing address
1839 COOPER RD STE D, PICAYUNE, MS 39466-2836
(601) 749-9477
(601) 749-0605
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
C4705
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
C4705
MS BOARD OF EXAMINERS FOR SOCIAL WORKERS
MS
Enumeration date
07/09/2018
Last updated
01/22/2020
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