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Kimberly Fail, LICSW

Social Worker, Clinical in New Brockton, AL. Individual provider (NPI-1).

NPI number1699478453
StatusActive
Last updated in NPPESMar 22, 2023

Details

NPI
1699478453
Entity type
Individual (NPI-1)
Name
Kimberly Fail
Credential
LICSW
Sex
Female
Sole proprietor
No
Enumeration date
Mar 22, 2023
Certification date
Mar 22, 2023
Last updated
Mar 22, 2023

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
1041C0700X Social Worker, Clinical3537CALYes

Practice location

39 Private Road 1201
New Brockton, AL 36351-7910

Phone 334-330-0060

Mailing address

39 Private Road 1201
New Brockton, AL 36351-7910

Phone 334-330-0060

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