Bradshaw, Kimberly Smith
Bradshaw, Kimberly Smith is an sole proprietor health care provider with primary practice located at 2503 Bonnie Ave , Bastrop LA 71220-4173. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Social Worker. Behavioral Health & Social Service Providers / Social Worker is her primary health care specialty. Bradshaw, Kimberly Smith can be contacted via phone (318) 516-4065.Contact Information
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Behavioral Health & Social Service Providers / Clinical | 1041C0700X | 15704 | Louisiana |
Behavioral Health & Social Service Providers / Social Worker | 104100000X | 15704 | Louisiana |
Profile Details
NPI number | 1952773574 |
---|---|
LBN Legal business name | Bradshaw, Kimberly Smith |
Credentials | LMSW |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Oct 22nd, 2015 |
Last updated | Dec 30th, 2022 - about 3 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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