Individual
MALIKA SHEBA KIRK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1173 LORETTA AVE, COLUMBUS, OH 43211-1330
(614) 687-6991
Mailing address
1173 LORETTA AVE, COLUMBUS, OH 43211-1330
(614) 687-6991
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
09/20/2023
Last updated
09/20/2023
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