Most Relevant Information
Provider Data
| NPI Number: | 1003669615 |
| Provider Name: | KIMBERLY EMBE-MAMONG LCSW |
| Entity Type: | Individual |
| Taxonomy Code: | 1041C0700X |
| Specialty: | Social Worker |
| License Number: |
Most Important Dates
| Enumeration Date: | 04/11/2024 |
| Last Updated: | 10/15/2024 |
Provider Practice Location
405 E LABURNUM AVE STE 3
RICHMOND
VA
232222134
Practice Location Phone/Fax
| Phone: | 8042779892 |
| Fax: |
Provider Mailing Location
7465 OLD HICKORY DR STE D
MECHANICSVILLE
VA
231113621
Provider Mailing Phone/Fax
| Phone: | 8044048222 |
| Fax: |