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Individual

MR. IAN A KIRKWOOD

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MSW

Contact information

Practice address
530 N MAIN ST, PROVIDENCE, RI 02904-5762
(401) 274-2500
Mailing address
243 FREMONT ST, TAUNTON, MA 02780-1277
(508) 813-8860

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
104100000X
Social Worker
Primary
315001
MA

Other

Enumeration date
07/26/2022
Last updated
07/21/2026
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