Individual
MRS. KIMBERLY WILLIS CLAY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
516 S MARTIN LUTHER KING JR DR, SAINT MARTINVILLE, LA 70582-3102
(337) 427-8710
Mailing address
1137 S BERNARD RD, STE. A PMB#1012, BROUSSARD, LA 70518-3388
(337) 427-8710
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
8749
LA
101Y00000X
Counselor
93013
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1467745000
NPI
LA
Enumeration date
05/18/2016
Last updated
11/15/2023
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