KIMBERLY K SMITH

FORT WAYNE, IN
NPI1972789600
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YM0800X Counselor, Mental Health
(Licence: IN  39002899A)
Additional Taxonomies101YM0800X Counselor, Mental Health
Enumeration Date2008-01-11
Last Update Date2021-03-15
Business Address
KIMBERLY K SMITH M Ed
909 E STATE BLVD
FORT WAYNE, IN 46805-3404
Phone number: 260-481-2700
Mailing Address
KIMBERLY K SMITH M Ed
11109 PARKVIEW PLAZA DR # 117
FORT WAYNE, IN 46845-1701
Phone number: 260-266-6013
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