Individual
HANNAH KIMBERLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW
Contact information
Practice address
400 NE 7TH ST, GRESHAM, OR 97030-5604
(503) 661-5455
Mailing address
400 NE 7TH ST, GRESHAM, OR 97030-5604
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
33007535A
IN
Other
Enumeration date
03/07/2016
Last updated
03/08/2016
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