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1013557842
ERICKA KIMBALL
PORTLAND, OR
NPI
1013557842
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: OR L7914)
Enumeration Date
2020-01-09
Last Update Date
2020-01-09
Business Address
ERICKA KIMBALL PhD, LCSW, LISW
1800 SW 6TH AVE
PORTLAND, OR 97201-5204
Phone number: 503-725-5299
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Mailing Address
ERICKA KIMBALL PhD, LCSW, LISW
4141 N WILLIAMS AVE APT W214
PORTLAND, OR 97217-2988
Phone number: 952-200-2519
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