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Individual

KRYSTAL KIRBY

Active
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Individual

KRYSTAL KIRBY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LICSW, LIMHP

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
1936
NE
101YP2500X
Professional Counselor
4948
NE
1041C0700X
Clinical Social Worker
Primary
1851
NE

Other

Enumeration date
04/28/2017
Last updated
10/08/2019
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