| NPI | 1366026395 |
|---|---|
| Former Legal Business Name | ALICIA KIMBALL LCSW GLCMA LLC |
| Entity Type | Organization |
| Authorized Contact | ALICIA KIMBALL CEO 847-220-7603 |
| Organization Subpart ? | No |
| Primary Taxonomy | 104100000X Social Worker |
| Enumeration Date | 2021-05-06 |
| Last Update Date | 2023-05-05 |