Individual
MS. KRISTIN KIMMELL
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
205 N WALNUT ST, SUITE 800, BLOOMINGTON, IN 47404-3982
(812) 332-6992
Mailing address
205 N WALNUT ST, SUITE 800, BLOOMINGTON, IN 47404-3982
(812) 332-6992
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
34000505A
IN
Other
Enumeration date
11/24/2005
Last updated
07/08/2007
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