Individual
KIMBERLY RUSSELL COLLINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
511 8TH ST, CLARKSVILLE, TN 37040-3093
(931) 920-7200
Mailing address
511 8TH ST, CLARKSVILLE, TN 37040-3093
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
LSW0000012788
TN
Other
Enumeration date
09/07/2010
Last updated
03/30/2021
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