Individual
MRS. CAROL KIMBROUGH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSW, LISW
Contact information
Practice address
311 TRAILWOODS DR, DAYTON, OH 45415-2618
(937) 572-3005
Mailing address
PO BOX 353, ENGLEWOOD, OH 45322-0353
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
I.2203628
OH
1041C0700X
Clinical Social Worker
S1440103
OH
Other
Enumeration date
10/27/2017
Last updated
08/04/2022
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