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1124047535
KIMBERLY RUSSELL HAYES
GASTONIA, NC
NPI
1124047535
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: NC C005359)
Enumeration Date
2006-07-18
Last Update Date
2013-02-06
Business Address
-- KIMBERLY RUSSELL HAYES LCSW
314 N HIGHLAND ST
GASTONIA, NC 28052-2108
Phone number: 704-567-8690
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Mailing Address
-- KIMBERLY RUSSELL HAYES LCSW
5509 TRAIL RIDGE CT
GASTONIA, NC 28056-8590
Phone number: 704-574-7808
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