Individual
MISS GEORGIA ANN KIMBER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FMT
Contact information
Practice address
433 S 500 E, AMERICAN FORK, UT 84003-2527
(801) 216-8000
Mailing address
433 SOUTH 500 EAST, AMERICAN FORK, UT 84003-2527
(801) 216-8000
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
52612143902
UT
Other
Enumeration date
02/17/2010
Last updated
02/17/2010
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