Individual
MRS. MELISSA SAMPLES KIMBERLING
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
24 JAMESON CT, EAST NORTHPORT, NY 11731-1629
(631) 754-5431
Mailing address
24 JAMESON CT, EAST NORTHPORT, NY 11731-1629
(631) 754-5431
Taxonomy
Speciality
Code
Description
License number
State
1041S0200X
School Social Worker
Primary
RO41152-1
NY
Other
Enumeration date
09/08/2010
Last updated
12/18/2019
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