Search › Texas › 1041C0700X
Kimberly Clough, LCSW
NPI 1306246210 · on the registry since 2014 · sole proprietor
Practice
- Address
- 1010 Tristan Ln
Longview, TX 75604 - Phone
- (903) 918-6574
- Fax
- (903) 704-0980
- Organisation at this address
- Faithfully Restored
Inferred from a shared address, not stated in the registry.
Additional practice sites
- 1201 Webster St, Longview, TX
Registry record
- Primary taxonomy
- 1041C0700X
1041C0700X
- Also registered as
- 104100000X
- Licence states on file
- TX
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2024-06-17
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Texas