Individual
MICHELLE MARIE KIRN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
3705 ELLISON RD NW STE B1400, ALBUQUERQUE, NM 87114-7012
(505) 503-8939
Mailing address
3705 ELLISON DRIVE NW, STE B-1, BOX 400, ALBUQUERQUE, NM 87114
(505) 503-8939
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
SWB-2022-0102
NM
104100000X
Social Worker
Primary
SWB-2025-0459
NM
Other
Enumeration date
06/26/2022
Last updated
02/27/2026
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