Individual
KIMBERLY A WASHBURN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW
Contact information
Practice address
2014 VANDALIA ST, COLLINSVILLE, IL 62234-4848
(618) 345-9536
Mailing address
318 BERWICK XING, BELLEVILLE, IL 62221-3009
(318) 349-1056
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
02/11/2019
Last updated
02/11/2019
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