Individual
KIMBERLY A DYKES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
4100 MAMIE ST, HATTIESBURG, MS 39402-1735
(601) 705-1901
(601) 705-1952
Mailing address
4100 MAMIE ST, HATTIESBURG, MS 39402-1735
(601) 705-1901
(601) 705-1952
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
M7528
MS
Other
Enumeration date
08/12/2009
Last updated
08/12/2009
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