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Individual

AMBER KIMBLE

Active
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Individual

AMBER KIMBLE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LCSW

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
C009947
NC
1041C0700X
Clinical Social Worker
P007673
NC

Other

Enumeration date
06/09/2015
Last updated
11/18/2019
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