Individual
HAYLEY KIMBLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
5910 COURTYARD DR, AUSTIN, TX 78731-3341
(512) 382-6359
Mailing address
11308 PRADERA DR, AUSTIN, TX 78759-4520
(512) 587-9615
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
50405
TX
Other
Enumeration date
04/27/2018
Last updated
04/27/2018
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