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Individual
KIMBERLY WOOTEN
Active
Individual
KIMBERLY WOOTEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC-I, ATR-P
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
TX
221700000X
Art Therapist
—
TX
Other
Enumeration date
06/13/2020
Last updated
06/13/2020
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