Individual
STEPHANIE KIMBROUGH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
914 HARRISON AVE, PANAMA CITY, FL 32401-2528
(850) 747-5411
Mailing address
3112 E 2ND ST, PANAMA CITY, FL 32401-5635
(850) 276-6168
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
10/15/2015
Last updated
10/15/2015
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