Individual
MRS. KIMBERLY BICKHAM MCCLELLAND
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
820 JORDAN ST STE 510A, SHREVEPORT, LA 71101-4526
(318) 861-1090
(318) 606-2038
Mailing address
820 JORDAN ST STE 510A, SHREVEPORT, LA 71101-4526
(318) 861-1090
(318) 606-2038
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LA2189
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2189
LA STATE BOARD OF SOCIAL
LA
Enumeration date
06/21/2006
Last updated
07/02/2019
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