Individual
QUANICIA LATRICIE KIRK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2925 RUSSELL ST, DETROIT, MI 48207-4825
(313) 710-8744
(855) 568-2494
Mailing address
2925 RUSSELL ST, DETROIT, MI 48207-4825
(586) 277-2378
(855) 568-2494
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
—
Other
Enumeration date
02/03/2023
Last updated
08/24/2023
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