Individual
CAROL B KIRKUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BST
Contact information
Practice address
6759 W CHARLESTON BLVD, SUITE 130, LAS VEGAS, NV 89146-2002
(702) 767-0579
(702) 823-3478
Mailing address
PO BOX 370724, LAS VEGAS, NV 89137-0724
(702) 767-0579
(702) 823-3478
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
08/09/2012
Last updated
08/09/2012
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