Provider Information for 1467948224
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KIMBERLY MICAELA MURRELL NCC, LPCA
Sex: Female
NPI: 1467948224
Last Updated: 2018-07-05
Certification Date:
Certification Date:
Details
| Name | Value | ||||||||
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| NPI | 1467948224 | ||||||||
| Enumeration Date | 2018-07-05 | ||||||||
| NPI Type | NPI-1 Individual | ||||||||
| Sole Proprietor | YES | ||||||||
| Status | Active | ||||||||
| Mailing Address | 9617 ROTHMAN LN CHARLOTTE, NC 28215-7307 United States Phone: 704-249-6226 | Fax: | ||||||||
| Primary Practice Address | 9617 ROTHMAN LN CHARLOTTE, NC 28215-7307 United States Phone: 704-249-6226 | Fax: | ||||||||
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