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1013122233
JANE ELAINE KIMBALL
FENTON, MI
NPI
1013122233
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: MI 6802018344)
Enumeration Date
2007-05-11
Last Update Date
2007-07-08
Business Address
-- JANE ELAINE KIMBALL LBSW
129 N RIVER ST
FENTON, MI 48430-3800
Phone number: 810-629-0760
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Mailing Address
-- JANE ELAINE KIMBALL LBSW
4382 S GENESEE RD
GRAND BLANC, MI 48439-7958
Phone number: 810-744-3985
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