Individual
MR. ERIC JAMES KIRWAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LISW
Contact information
Practice address
325 MDG, 340 MAGNOLIA CIRCLE, TYNDALL AFB, FL 32403
(850) 283-7511
Mailing address
4102 PINION DR 10 MDG, USAF, CO 80840
(719) 333-5177
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
102100000X
CA
Other
Enumeration date
10/30/2007
Last updated
08/20/2019
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