Individual
BRENDA L KIRKWOOD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
166 REGIS DR, STATEN ISLAND, NY 10314-1424
(917) 951-0687
Mailing address
166 REGIS DR, STATEN ISLAND, NY 10314-1424
(917) 951-0687
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
11/09/2020
Last updated
11/09/2020
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