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Individual

KAREN MARIE IRICK

Active
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Individual

KAREN MARIE IRICK

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LCSW, LAC

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
ACD.0000976
CO
1041C0700X
Clinical Social Worker
2004019098
MO
1041C0700X
Clinical Social Worker
Primary
CSW.09924278
CO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
13279718
MO
01
2004019098
LCSW
MO
01
ACD.0000976
LAC
CO
01
CSW.09924278
LCSW
CO
Enumeration date
02/09/2007
Last updated
05/15/2020
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