| NPI | 1003323726 |
|---|---|
| Doing Business As | KIMBERLY CLOUGH |
| Entity Type | Organization |
| Authorized Contact | KIMBERLY CLOUGH CEO 903-918-6574 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: TX 59013) |
| Enumeration Date | 2018-01-03 |
| Last Update Date | 2018-01-03 |