MISS Kimyatta Shevone Anderson, LCSW, MSW
NPI #1952521924 in Farmville, North Carolina
Provider Information
- NPI Number
- 1952521924
- Entity Type
- Individual
- Name
- MISS Kimyatta Shevone Anderson, LCSW, MSW
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Social Worker - Clinical
- Credential
- LCSW, MSW
- Enumeration Date
- May 1, 2007
- Last Updated
- Nov 15, 2011
Practice Location
- Address
- 3707 N MAIN ST
- City
- Farmville
- State
- North Carolina
- ZIP Code
- 27828-1486
- Phone
- (252) 753-5100
Specialties & Taxonomy Codes
| Specialty |
|---|
| Social Worker - Clinical — Clinical |
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|---|---|
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