Individual
KIMBERLEY J PAUL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
1700 W GOVERNMENT ST STE 201, BRANDON, MS 39042
(601) 934-1021
Mailing address
115 WOODGATE DR, BRANDON, MS 39042-2176
(601) 934-1021
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
C005515
NC
1041C0700X
Clinical Social Worker
Primary
C8551
MS
Other
Enumeration date
05/13/2008
Last updated
06/24/2019
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