MS. Kimberly Forristall, LCSW

NPI #1336296649 in La Salle, Illinois

Provider Information

NPI Number: 1336296649
Entity Type: Individual
Name: MS. Kimberly Forristall, LCSW
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Social Worker - Clinical
Credential: LCSW
Enumeration Date: Jan 5, 2007
Last Updated: Jul 8, 2007

Practice Location

Address: 2960 CHARTRES ST
City: La Salle
State: Illinois
ZIP Code: 61301-1097
Phone: (815) 224-1610

Specialties & Taxonomy Codes

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

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