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1700485927
KIMBERLY WAINE GORE
WILLIAMSBURG, VA
NPI
1700485927
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: VA 0904012385)
Enumeration Date
2020-10-19
Last Update Date
2020-10-19
Business Address
KIMBERLY WAINE GORE LCSW
1651 MERRIMAC TRL BLDG 1
WILLIAMSBURG, VA 23185-5624
Phone number: 757-220-3200
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Mailing Address
KIMBERLY WAINE GORE LCSW
8435 TAVERNS LN
TOANO, VA 23168-8000
Phone number: 757-218-5133
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