Individual
MEGAN KIMBALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
2650 SISKIYOU BLVD, MEDFORD, OR 97504-8170
(541) 789-7000
Mailing address
2650 SISKIYOU BLVD, MEDFORD, OR 97504-8170
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
M16767
OR
Other
Enumeration date
05/13/2022
Last updated
08/01/2025
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