Samantha Ann Kimble, LCSW

NPI #1083230098 in Benton, Illinois

Provider Information

NPI Number: 1083230098
Entity Type: Individual
Name: Samantha Ann Kimble, LCSW
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Social Worker - Clinical
Credential: LCSW
Enumeration Date: Jun 25, 2020
Last Updated: Apr 12, 2022

Practice Location

Address: 205 BAILEY LN STE 3W
City: Benton
State: Illinois
ZIP Code: 62812-1921
Phone: (618) 218-4544

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Social Worker	104100000X
Social Worker - Clinical — Clinical	1041C0700X	Primary

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