Individual
DR. KIM CLOVER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
EDD
Contact information
Practice address
6551 STAGE OAKS DR STE 4, BARTLETT, TN 38134-3895
(901) 387-0026
(901) 552-4737
Mailing address
6551 STAGE OAKS DR STE 4, BARTLETT, TN 38134-3895
(901) 387-0026
(901) 552-4737
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
472
TN
101YP2500X
Professional Counselor
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
103856
VALUE OPTIONS TRICARE
TN
Enumeration date
06/13/2007
Last updated
02/22/2022
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