Individual
KAYLEE FISHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW, LCSW
Contact information
Practice address
5739 BLOCKER ST, OLIVE BRANCH, MS 38654-3051
(269) 625-6885
Mailing address
5739 BLOCKER ST, OLIVE BRANCH, MS 38654-3051
(269) 625-6885
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
M10029
MS
104100000X
Social Worker
MSW009838
GA
1041C0700X
Clinical Social Worker
Primary
CSW009190
GA
Other
Enumeration date
03/09/2020
Last updated
09/02/2025
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