Female

Catherine L. Kimball MSW, LICSWA

Clinical Social Worker in Puyallup, WA(View on Map)

Full Name

Catherine Lea Kimball MSW, LICSWA

NPI Number

1669672515

NPI Type

Individual Provider

Gender

Female

Enumeration Date

07/19/2007

Specialties

(Taxonomies)

Code

1041C0700X
101Y00000X

Primary Taxonomy

Yes
No

Licenses

State

Washington

License Number

SC60995790

Contact
Information

Purpose

Mailing
Location

Address

PO BOX 1522
105B W MAIN STE 113

City

Orting
Puyallup

State

WA
WA

Postal Code

98360-1522
98371-5329

Country

US
US

Telephone Number

(253) 222-2988
(253) 222-2988

Identifiers

Identifier

4CLF83

Identifier State

OK

Identifier Issuer

ICIS

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 03/31/2022

Provider Address

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