Individual
MARGARET REVELLE KIMBALL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
32 LINWOOD RD, FREEPORT, ME 04032-1132
(207) 522-1704
Mailing address
32 LINWOOD RD, FREEPORT, ME 04032-1132
(207) 522-1704
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LC4122
ME
Other
Enumeration date
01/22/2007
Last updated
08/31/2020
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