Most Relevant Information
Provider Data
| NPI Number: | 1003396706 |
| Provider Name: | KIMBERLY RUSHING LCSW-A |
| Entity Type: | Individual |
| Taxonomy Code: | 1041C0700X |
| Specialty: | Social Worker |
| License Number: | P012791 |
Most Important Dates
| Enumeration Date: | 08/21/2018 |
| Last Updated: | 08/21/2018 |
Provider Practice Location
9620 BAYVIEW PKWY
CHARLOTTE
NC
282163722
Practice Location Phone/Fax
| Phone: | 9802191058 |
| Fax: |
Provider Mailing Location
9620 BAYVIEW PKWY
CHARLOTTE
NC
282163722
Provider Mailing Phone/Fax
| Phone: | 9802191058 |
| Fax: |