Peter Jeffers Kimball JR. LCSW

NPI 1023327400 - Social Worker - 1041C0700X

NPI Details
NPI 1023327400
Gender Male
Enumeration Date 10/01/2010
Last Updated 10/01/2010
Entity Type Individual
Active Over 6 years ago
Practice Location
66 STATE ST
PORTLAND ME, 04101-3751, US
Phone (207) 871-7431
Fax
Business Location
29 TUCKER AVE
PORTLAND ME, 04103-1422, US
Phone (207) 871-7431
Fax
Toxanomy
Taxonomy Code 1041C0700X
License State Maine
License Number LC10102
Remove 1023327400 NPI Number
 

According to our database, Mr. Peter Jeffers Kimball JR. LCSW NPI is 1023327400, taxonomy code is 1041C0700X and license number is LC10102, license state is located at Maine. Peter Jeffers Kimball JR. LCSW physically located at 66 State St, Portland ME, 04101-3751. NPI Number Peter Jeffers Kimball JR. LCSW has the Individual type.

Sponsored links

1023327400 NPI number is provided on an as is basis without warranty of any kind. 1023327400 is maintained by the National Plan & Provider Enumeration System. The contents of Peter Jeffers Kimball JR. LCSW are for informational purposes only.