Individual
MS. SUSAN KIRK
Active
Individual
MS. SUSAN KIRK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
1323
NH
1041C0700X
Clinical Social Worker
Primary
8404
TN
1041C0700X
Clinical Social Worker
C005432
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6007744
—
NC
Enumeration date
09/06/2006
Last updated
03/08/2023
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