Individual
MICHELLE B KIRBY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
403 PRINCETON RD, SUITE 2, JOHNSON CITY, TN 37601-2056
(423) 283-9182
Mailing address
403 PRINCETON RD, SUITE 2, JOHNSON CITY, TN 37601-2056
(423) 283-9182
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LSW0000003948
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4015779
BCBS PARADIGM INC
TN
Enumeration date
10/19/2006
Last updated
07/08/2007
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