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Grace Miriam Kimball

Developmental Therapist in Springfield, MA. Individual provider (NPI-1).

NPI number1003605502
StatusActive
Last updated in NPPESMay 2, 2025

Details

NPI
1003605502
Entity type
Individual (NPI-1)
Name
Grace Miriam Kimball
Sex
Female
Sole proprietor
No
Enumeration date
May 2, 2025
Certification date
May 2, 2025
Last updated
May 2, 2025

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
222Q00000X Developmental Therapist––Yes

Practice location

395 Liberty St
Springfield, MA 01104-3779

Phone 413-310-9355

Mailing address

395 Liberty St
Springfield, MA 01104-3779

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