Provider Information for 1528701398
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KIMBERLY BALKCOM MS, LMHC
Sex: Female
NPI: 1528701398
Last Updated: 2022-04-19
Certification Date: 2022-04-19
Certification Date: 2022-04-19
Details
| Name | Value | ||||||||
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| NPI | 1528701398 | ||||||||
| Enumeration Date | 2022-04-19 | ||||||||
| NPI Type | NPI-1 Individual | ||||||||
| Sole Proprietor | YES | ||||||||
| Status | Active | ||||||||
| Mailing Address | 18600 NW 38TH CT MIAMI GARDENS, FL 33055-2816 United States Phone: 954-790-5101 | Fax: | ||||||||
| Primary Practice Address | 18600 NW 38TH CT MIAMI GARDENS, FL 33055-2816 United States Phone: 954-790-5101 | Fax: | ||||||||
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