Individual
KIMBERLY D ARVIN-LONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
650 JOEL DR, FORT CAMPBELL, KY 42223-5318
(270) 461-4018
Mailing address
650 JOEL DR, FORT CAMPBELL, KY 42223-5318
(270) 461-4018
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
34004923A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100240880
—
IN
01
—
34004923A
LICENSE
IN
Enumeration date
08/10/2006
Last updated
04/24/2025
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