Individual
EMILY ESTELLE CLARK HIGGINBOTHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
PO BOX 4321, EDWARDS, CO 81632-4321
(254) 221-2211
Mailing address
PO BOX 4321, EDWARDS, CO 81632-4321
(254) 221-2211
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
68621
TX
1041C0700X
Clinical Social Worker
Primary
CSW09930719
CO
Other
Enumeration date
10/30/2017
Last updated
12/11/2024
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