Individual
KIMBERLY WAINE GORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
1651 MERRIMAC TRL BLDG 1, WILLIAMSBURG, VA 23185-5624
(757) 220-3200
(757) 253-4118
Mailing address
8435 TAVERNS LN, TOANO, VA 23168-8000
(757) 218-5133
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
0904012385
VA
Other
Enumeration date
10/19/2020
Last updated
10/19/2020
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