Individual
MR. KIRK FRANCIS LITTLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
76 ELM ST, PORTLAND, ME 04101-3045
(207) 842-3630
Mailing address
17 HIGHLAND AVE, GORHAM, ME 04038-1701
(207) 839-7605
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LC3756
ME
Other
Enumeration date
05/09/2007
Last updated
07/09/2007
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