Individual
KIMBERLY LONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
10415 HICKORY PATH WAY STE 101, KNOXVILLE, TN 37922-0701
(865) 671-1274
(865) 675-2003
Mailing address
9702 GROVE LAKE WAY UNIT 106, KNOXVILLE, TN 37922-5199
(865) 924-7249
(865) 675-2003
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
7601
TN
1041C0700X
Clinical Social Worker
8887
TN
Other
Enumeration date
04/28/2020
Last updated
01/12/2022
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