Individual
EMMA GRACE KIMBALL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
1028 SAINT CHARLES AVE NE APT 1, ATLANTA, GA 30306-4227
(770) 634-9699
Mailing address
1028 SAINT CHARLES AVE NE APT 1, ATLANTA, GA 30306-4227
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
CSW007836
GA
Other
Enumeration date
07/07/2022
Last updated
07/07/2022
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