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Individual
MR. JAMES VINCENT KIRBY II
Active
Individual
MR. JAMES VINCENT KIRBY II
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
L.C.S.W.
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
22941
CA
1041C0700X
Clinical Social Worker
Primary
22941
CA
Other
Enumeration date
03/02/2013
Last updated
03/02/2013
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