Individual
LINDA CALVO KIMBELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
119 HARMONY XING STE 3, EATONTON, GA 31024-9571
(706) 817-8870
Mailing address
1838 AMERICAN WAY, LAWRENCEVILLE, GA 30043-6611
(770) 995-7622
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
CSW005203
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003150127A
—
GA
05
—
003150127B
—
GA
Enumeration date
07/16/2014
Last updated
08/10/2020
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