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1194397133
KIMBERLY MCCULLOUGH DAVIS
CHARLOTTE, NC
NPI
1194397133
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: NC P015700)
Enumeration Date
2021-07-09
Last Update Date
2021-07-09
Business Address
KIMBERLY MCCULLOUGH DAVIS
1909 J N PEASE PL STE 101
CHARLOTTE, NC 28262-4509
Phone number: 980-313-3020
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Mailing Address
KIMBERLY MCCULLOUGH DAVIS
PO BOX 680665
CHARLOTTE, NC 28216-0012
Phone number: 704-451-7067
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