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Individual

ROBERT L KIRBY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
CASAC

Contact information

Practice address
2488 GRAND CONCOURSE, BRONX, NY 10458
(781) 584-7204
Mailing address
2488 GRAND CONCOURSE, BRONX, NY 10458
(781) 584-7204

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
13040
NY

Other

Enumeration date
10/09/2009
Last updated
10/09/2009
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