Individual
MS. LAURA CAMILLE KIMBALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PPS
Contact information
Practice address
1500 D ST, ANTIOCH, CA 94509-2346
(541) 821-0063
Mailing address
1500 D ST, ANTIOCH, CA 94509-2346
(925) 779-7400
Taxonomy
Speciality
Code
Description
License number
State
101YS0200X
School Counselor
Primary
250031648
CA
Other
Enumeration date
02/13/2025
Last updated
06/06/2025
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