KYLE BIRDWELL

HATTIESBURG, MS
NPI1871016600
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: MS  C8215)
Enumeration Date2017-07-24
Last Update Date2020-11-06
Business Address
KYLE BIRDWELL LCSW
110 PATTON AVE
HATTIESBURG, MS 39401-6155
Phone number: 601-582-1111
Mailing Address
KYLE BIRDWELL LCSW
104 BEVERLY DR
PETAL, MS 39465-3702
Phone number: 601-319-2742