Individual
KIMBERLY J PATRICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
2195 EUCLID AVE, BRISTOL, VA 24201
(276) 669-5179
(276) 466-8870
Mailing address
PO BOX 646, EMORY, VA 24327-0646
(276) 492-9985
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
0904011342
VA
Other
Enumeration date
11/01/2019
Last updated
02/26/2026
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