# KIMBERLY S CLARK

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1427529841
- **Gender:** F
- **Credential:** LCDP, LMSW

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101YA0400X | Addiction (Substance Use Disorder) Counselor | 0000102 | DE | Yes |
| 101YM0800X | Mental Health Counselor | 0000102 | DE | — |
| 104100000X | Social Worker | Q3-0000250 | DE | — |

## Other

- **Enumeration date:** 12/11/2018
- **Last updated:** 04/14/2020