Individual
LARENCE KIRBY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPCMH
Contact information
Practice address
109 S STATE ST, DOVER, DE 19901-7313
(302) 213-3121
Mailing address
PO BOX 386, CHESWOLD, DE 19936-0386
(302) 213-3121
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
PC-0000744
DE
Other
Enumeration date
07/13/2019
Last updated
07/13/2019
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