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KIMBERLEY SIMON LCSW

Clinical >> Social Worker >> Behavioral Health & Social Service Providers

Registrant NPI Number: 1396046777

Individual Registrant:
 KIMBERLEY  SIMON LCSW
Gender: F
Not Sole Proprietor

Location and contact information for practice:
404 C MILLER AVENUE  TYBEE ISLAND, GA 31328 US
Tel: 330-550-3347  Fax: --

Contact information for business:
PO BOX 1782  TYBEE ISLAND, GA 31328-1782 US
Tel: --  Fax: --

Registration Information:
NPI: 1396046777
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
N1041C0700XBehavioral Health & Social Service Providers
Social Worker
Clinical
OHI1000299
Y1041C0700XBehavioral Health & Social Service Providers
Social Worker
GACSW004497

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




HEALTH CARE JOBS GA - Page 1



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