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Individual

JAY SPENCER KIMBALL

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
LMSW

Contact information

Practice address
260 33RD AVE SW STE J, CEDAR RAPIDS, IA 52404-4646
(319) 361-6529
(319) 343-1059
Mailing address
260 33RD AVE SW STE J, CEDAR RAPIDS, IA 52404-4646
(319) 361-6529
(319) 343-1059

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
107269
IA
1041C0700X
Clinical Social Worker

Other

Enumeration date
06/02/2021
Last updated
06/02/2021
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