Most Relevant Information
Provider Data
| NPI Number: | 1003422940 |
| Provider Name: | CHARLES R KIMBLE LSW |
| Entity Type: | Individual |
| Taxonomy Code: | 1041C0700X |
| Specialty: | Social Worker |
| License Number: | SW-GTL-20-01269 |
Most Important Dates
| Enumeration Date: | 09/16/2020 |
| Last Updated: | 09/16/2020 |
Provider Practice Location
22 ELM TER
FLEMINGTON
NJ
088223170
Practice Location Phone/Fax
| Phone: | 9088758329 |
| Fax: |
Provider Mailing Location
22 ELM TER
FLEMINGTON
NJ
088223170
Provider Mailing Phone/Fax
| Phone: | 9088758329 |
| Fax: |