Individual
KIMBERLY SHIRK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
707 ENFIELD ST, ENFIELD, CT 06082-2903
(860) 745-7144
Mailing address
46 EDGEWOOD ST APT 5, STAFFORD SPRINGS, CT 06076-1253
(860) 684-0710
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
—
Other
Enumeration date
11/07/2023
Last updated
12/05/2023
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