Individual
KIMBERLY DENISE SQUARE-JAMES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
8326 KELWOOD AVE, BATON ROUGE, LA 70806-4803
(225) 929-9738
(225) 929-9740
Mailing address
12097 OLD HAMMOND HWY STE I4, BATON ROUGE, LA 70816-8679
(225) 246-8816
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
171M00000X
Case Manager/Care Coordinator
—
LA
Other
Enumeration date
10/11/2017
Last updated
07/13/2021
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