Shanequa Kimble, LCSW
Social Worker, Clinical in Carrollton, GA. Individual provider (NPI-1).
NPI number1497516173
StatusActive
Last updated in NPPESJan 19, 2024
Details
- NPI
- 1497516173
- Entity type
- Individual (NPI-1)
- Name
- Shanequa Kimble
- Credential
- LCSW
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Jan 19, 2024
- Certification date
- Jan 19, 2024
- Last updated
- Jan 19, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1041C0700X | Social Worker, Clinical | CSW03549 | RI | Yes |
| 104100000X | Social Worker | 9291 | CT |
Other names
- Shanequa Kimble Stepps (Other Name)
Practice location
301 Lucy LnCarrollton, GA 30117-8506
Phone 678-557-1968
Mailing address
301 Lucy LnCarrollton, GA 30117-8506
Phone 678-557-1968
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All 15 Clinical Social Worker providers in Carrollton · All 1,319 providers in Carrollton
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