Individual
ERICA PENICK KIMBALL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
8150 N CENTRAL EXPY STE M-1065, DALLAS, TX 75206-1815
(214) 736-9955
Mailing address
10433 CHESTERTON DR, DALLAS, TX 75238-2205
(214) 801-3061
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
20101
TX
Other
Enumeration date
12/19/2021
Last updated
12/19/2021
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