Individual
CASSANDRA KIRK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
10 CHILDRENS WAY, POUGHKEEPSIE, NY 12601-1499
(845) 396-3268
Mailing address
1 RIVER PL APT 525, NEW YORK, NY 10036-4363
(845) 443-1278
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
121105-01
NY
Other
Enumeration date
12/19/2023
Last updated
12/19/2023
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