Individual
CATHERINE LEA KIMBALL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSW, LICSWA
Contact information
Practice address
105B W MAIN STE 113, PUYALLUP, WA 98371-5329
(253) 222-2988
Mailing address
PO BOX 1522, ORTING, WA 98360-1522
(253) 222-2988
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
1041C0700X
Clinical Social Worker
Primary
SC60995790
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4CLF83
ICIS
OK
Enumeration date
07/19/2007
Last updated
03/31/2022
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