Individual
KIMBERLY B ALLEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
230 ROWE ST., WHEELER, OR 97147
(503) 368-5182
(503) 368-5590
Mailing address
PO BOX 176, WHEELER, OR 97147
(503) 368-5182
(503) 368-5590
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
L4057
OR
Other
Enumeration date
07/19/2007
Last updated
01/28/2015
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