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Organization
KIMBALL CLINICAL SOLUTIONS LLC
Active
Organization
KIMBALL CLINICAL SOLUTIONS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALISON KIMBALL LCSW (OWNER)
(813) 803-0879
Entity
Organization
Contact information
Practice address
324 W BEARSS AVE, SUITE B, TAMPA, FL 33613-1228
(888) 899-7736
Mailing address
3323 W IVY ST, TAMPA, FL 33607-1524
(813) 766-3100
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
SW10074
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004066100
—
FL
Enumeration date
06/16/2014
Last updated
06/16/2014
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