Organization
KIMBERLY DOWD, LCSW, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. KIMBERLY ANN DOWD LCSW (OWNER/THERAPIST)
(918) 344-3565
Entity
Organization
Contact information
Practice address
304 W WILL ROGERS BLVD, CLAREMORE, OK 74017-7022
(918) 344-3565
Mailing address
304 W WILL ROGERS BLVD, CLAREMORE, OK 74017-7022
(918) 344-3565
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1790894541
PERSONAL NPI
—
Enumeration date
10/10/2020
Last updated
10/10/2020
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