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Individual
SUZANNE EILEEN KIRK
Active
Individual
SUZANNE EILEEN KIRK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MFT
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
449-8-1-00-156
ND
Other
Enumeration date
12/27/2006
Last updated
06/03/2014
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