Individual
GRACE MIRIAM KIMBALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
395 LIBERTY ST, SPRINGFIELD, MA 01104-3779
(413) 310-9355
Mailing address
395 LIBERTY ST, SPRINGFIELD, MA 01104-3779
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
—
—
Other
Enumeration date
05/02/2025
Last updated
05/02/2025
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