Individual
MS. CHARLENE KIRK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4077 FLAT SHOALS PKWY, DECATUR, GA 30034-4104
(678) 705-8248
Mailing address
4077 FLAT SHOALS PKWY, DECATUR, GA 30034-4104
(678) 973-5033
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
06/18/2007
Last updated
07/24/2015
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