Individual
MS. ADDIE DELOIS KIMBROUGH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1298 HARTFORD TPKE, 10D, NORTH HAVEN, CT 06473-2175
(203) 287-5439
(203) 287-8793
Mailing address
1298 HARTFORD TPKE, 10D, NORTH HAVEN, CT 06473-2175
(203) 287-5439
(203) 287-8793
Taxonomy
Speciality
Code
Description
License number
State
372600000X
Adult Companion
Primary
HCA.0000233
CT
Other
Enumeration date
06/16/2008
Last updated
06/16/2008
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