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Individual
MOLLIE A KIMBALL
Active
Individual
MOLLIE A KIMBALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
005940-1
NY
Other
Enumeration date
01/11/2017
Last updated
06/13/2022
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