KIMBERLY LAKE

LONGVIEW, WA
NPI1811472277
Former NameKIMBERLY HAWKINS
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101Y00000X Counselor
(Licence: WA  608708781)
Enumeration Date2018-10-01
Last Update Date2019-08-14
Business Address
KIMBERLY LAKE BA, CAAR
720 14TH AVENUE
LONGVIEW, WA 98632
Phone number: 360-423-0203
Mailing Address
KIMBERLY LAKE BA, CAAR
PO BOX 1847
LONGVIEW, WA 98632
Phone number: 360-423-0203
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