Search › Georgia › 1041C0700X
Shanequa Kimble, LCSW
NPI 1497516173 · on the registry since 2024 · sole proprietor
Practice
- Address
- 301 Lucy Ln
Carrollton, GA 30117 - Phone
- (678) 557-1968
Registry record
- Primary taxonomy
- 1041C0700X
1041C0700X
- Also registered as
- 104100000X
- Licence states on file
- CT, RI
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2024-01-19
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Georgia