Individual
MRS. JOSEPHINE KIM KIRKUP
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA, LPC
Contact information
Practice address
1902 MACY DR, ROSWELL, GA 30076-6339
(404) 805-0095
Mailing address
1902 MACY DR, ROSWELL, GA 30076-6339
(404) 805-0095
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LPC004726
GA
Other
Enumeration date
03/25/2009
Last updated
03/25/2009
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