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1316646128
KIMBELL BINGHAM WATERS
JACKSON, MS
NPI
1316646128
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: MS C8725)
Enumeration Date
2023-03-01
Last Update Date
2024-10-29
Business Address
KIMBELL BINGHAM WATERS LCSW
4541 N STATE ST
JACKSON, MS 39206-5308
Phone number: 601-533-7017
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Mailing Address
KIMBELL BINGHAM WATERS LCSW
PO BOX 746085
ATLANTA, GA 30374-6085
Phone number: 773-352-1515
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