Individual
COLLIS KIMBROUGH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
2655 E OAKLAND PARK BLVD, SUITE 2, FORT LAUDERDALE, FL 33306-1662
(954) 561-3112
Mailing address
2655 E OAKLAND PARK BLVD, SUITE 2, FORT LAUDERDALE, FL 33306-1662
(954) 561-3112
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
SW 9190
FL
Other
Enumeration date
01/05/2009
Last updated
11/01/2011
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