PETER JEFFERS KIMBALL

PORTLAND, ME
NPI1023327400
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: ME  LC10102)
Enumeration Date2010-10-01
Last Update Date2010-10-01
Business Address
Mr. PETER JEFFERS KIMBALL LCSW
66 STATE ST
PORTLAND, ME 04101-3751
Phone number: 207-871-7431
Mailing Address
Mr. PETER JEFFERS KIMBALL LCSW
29 TUCKER AVE
PORTLAND, ME 04103-1422
Phone number: 207-871-7431
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