Individual
KIMBERLY FABEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
85 N DANNY THOMAS BLVD, MEMPHIS, TN 38103-2321
(901) 517-5930
Mailing address
1977 HARBERT AVE, MEMPHIS, TN 38104-5215
(901) 517-5930
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
5260
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5260
BOARD OF SOCIAL WORK
TN
Enumeration date
06/16/2012
Last updated
06/16/2012
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