Individual
JENNIFER KIMBROUGH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
1540 TRINITY PL, MISHAWAKA, IN 46545-5006
(260) 415-9051
Mailing address
1540 TRINITY PL, MISHAWAKA, IN 46545-5006
(260) 415-9051
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
33004912
IN
Other
Enumeration date
05/15/2006
Last updated
09/10/2021
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