MRS. Kimberly Kay Pore, LCSW

NPI #1366741522 in Columbus, Texas

Provider Information

NPI Number
1366741522
Entity Type
Individual
Name
MRS. Kimberly Kay Pore, LCSW
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Social Worker - Clinical
Credential
LCSW
Enumeration Date
Mar 26, 2011
Last Updated
Dec 5, 2012

Practice Location

Address
1460 WALNUT ST
State
Texas
ZIP Code
78934-2131
Phone
(979) 732-6204

Specialties & Taxonomy Codes

Specialty
Social Worker - ClinicalClinical

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