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Individual
KRISTIN DESSERT KIRK
Active
Individual
KRISTIN DESSERT KIRK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.C.S.W.
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
C006057
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1490A
BCBS
NC
01
—
2186760
COMPSYCH
—
01
—
56162
MEDCOST
—
05
—
6106990
—
NC
Enumeration date
06/20/2008
Last updated
08/18/2010
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