Individual
KIMBERLY CLINE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW, LGSW
Contact information
Practice address
824 CROSS LANES DR, CROSS LANES, WV 25313-1338
(304) 942-5987
Mailing address
824 CROSS LANES DR, CROSS LANES, WV 25313-1338
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
BP00944250
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
BP00944250
WV BOARD OF SOCIAL WORK
WV
Enumeration date
09/19/2022
Last updated
09/19/2022
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