Individual
COURTNEY MARIE KIRK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1920 SLABTOWN RD, LIMA, OH 45801-3309
(419) 222-1836
Mailing address
1627 WHITEHALL DR, LIMA, OH 45805-1327
(419) 234-4520
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SP.13483
OH
Other
Enumeration date
05/29/2018
Last updated
09/12/2019
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