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Individual

KIMBERLY S CARTER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
3131 AZALEA GARDEN RD # B, NORFOLK, VA 23513-2303
(757) 271-9030
Mailing address
3215 COUNTY ROAD 10, HEFLIN, AL 36264-4346
(256) 926-8205

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
4267G
AL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1235619385
VA
Enumeration date
12/19/2022
Last updated
12/19/2022
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