Kimberly N Marshall, LCSW
Social Worker, Clinical in Moultrie, GA. Individual provider (NPI-1).
NPI number1295055853
StatusActive
Last updated in NPPESMar 30, 2020
Details
- NPI
- 1295055853
- Entity type
- Individual (NPI-1)
- Name
- Kimberly N Marshall
- Credential
- LCSW
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jun 7, 2010
- Certification date
- Mar 30, 2020
- Last updated
- Mar 30, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1041C0700X | Social Worker, Clinical | CSW006639 | GA | Yes |
Other names
- Kimberly N Marshall (Professional Name)
Practice location
1015 West BlvdMoultrie, GA 31768-4232
Phone 229-985-4815
Mailing address
1015 West BlvdMoultrie, GA 31768-4232
Phone 229-873-6492
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