Individual
HEATHER L KIMMEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1501 MADISON RD, CINCINNATI, OH 45206
(513) 354-5200
(513) 354-7115
Mailing address
1501 MADISON RD, CINCINNATI, OH 45206
(513) 354-5200
(513) 354-7115
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
S.1903997
OH
1041C0700X
Clinical Social Worker
Primary
I.2203865
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00000
LICENSURE BOARD
OH
Enumeration date
08/19/2020
Last updated
10/06/2022
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