Individual
MS. KIMBERLY SHUMWAY MINER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW
Contact information
Practice address
2695 E INDUSTRIAL DR, FLAGSTAFF, AZ 86004-6109
(928) 527-1899
(928) 527-0028
Mailing address
2187 N VICKEY ST, FLAGSTAFF, AZ 86004-6121
(928) 527-1899
(928) 714-6480
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
12732
AZ
Other
Enumeration date
05/22/2009
Last updated
05/22/2009
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