| NPI | 1881388049 |
|---|---|
| Doing Business As | KIMBERLY BOREN |
| Entity Type | Organization |
| Authorized Contact | KIMBERLY HUSTING Licensed Clinical Social Worker 918-973-2451 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Enumeration Date | 2023-06-08 |
| Last Update Date | 2023-10-15 |