Individual
KIMBERLY MERRITT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
415 N JACKSON ST, PO DRAWER 1348, AMERICUS, GA 31709-3015
(229) 931-2470
Mailing address
PO DRAWER 1348, 415 NORTH JACKSON ST., AMERICUS, GA 31709
(229) 931-2470
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LPC006863
GA
Other
Enumeration date
08/08/2012
Last updated
08/08/2012
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