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1821501222
CHARLENE AVIS KIMBLE
RICHMOND, VA
NPI
1821501222
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: VA 0710102844)
Enumeration Date
2017-11-08
Last Update Date
2017-11-08
Business Address
CHARLENE AVIS KIMBLE CSAC
2217 E FRANKLIN ST
RICHMOND, VA 23223-7046
Phone number: 804-231-0249
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Mailing Address
CHARLENE AVIS KIMBLE CSAC
2217 E FRANKLIN ST
RICHMOND, VA 23223-7046
Phone number: 804-213-0249
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