Individual
MS. ELAINE M KIMBALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
45 BROWN HILL RD, WATERFORD, ME 04088
(207) 583-2382
Mailing address
BOX 28, WATERFORD, ME 04088
(207) 583-2382
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LC3754
ME
Other
Enumeration date
08/29/2006
Last updated
07/08/2007
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