Individual
KAYLA MARIE KIRK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
2400 LAKESIDE BLVD STE 620, RICHARDSON, TX 75082-4341
(972) 503-6166
Mailing address
4661 CROSSVINE DR, PROSPER, TX 75078-0916
(214) 695-9193
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
104764
TX
104100000X
Social Worker
94789
CA
Other
Enumeration date
05/14/2020
Last updated
01/16/2024
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