Individual
MS. SHIRLEY ANN KIRKPATRICK-CLARKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCPC
Contact information
Practice address
63 HARRISON AVE, DOVER FOXCROFT, ME 04426-1135
(207) 564-6535
Mailing address
1046 MILO RD, SEBEC, ME 04481-3245
(207) 717-2121
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
CC2053
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
334120099
—
ME
Enumeration date
05/22/2007
Last updated
08/17/2010
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