Individual
NICHOLAS DOMINIC KIRK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
4850 136TH AVE, HAMILTON, MI 49419-9604
(630) 890-4315
Mailing address
4850 136TH AVE, HAMILTON, MI 49419-9604
(630) 890-4315
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
LMFT122998
CA
Other
Enumeration date
03/09/2016
Last updated
12/26/2023
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