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Individual

MARSHALL L KIRKPATRICK

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
PO BOX 218, REEDSVILLE, WI 54230-0218
(920) 840-2745
Mailing address
109 N RUBY ST, ELLENSBURG, WA 98926-3382
(509) 933-1354

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
6170-125
WI
1041C0700X
Clinical Social Worker
LH00011185
WA

Other

Enumeration date
03/05/2008
Last updated
09/28/2024
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