Individual
MRS. COLLEEN SUE KIMBALL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LSW
Contact information
Practice address
7654 SLATE RIDGE BLVD, REYNOLDSBURG, OH 43068-8158
(614) 626-2696
(866) 820-4098
Mailing address
7654 SLATE RIDGE BLVD, REYNOLDSBURG, OH 43068-8158
(614) 626-2696
(866) 820-4098
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
S0005309
OH
Other
Enumeration date
10/30/2010
Last updated
09/30/2013
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