Individual
STACIE RENEE KIRBY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2238 ASH ST, TERRE HAUTE, IN 47804
(317) 661-5681
Mailing address
2238 ASH ST, TERRE HAUTE, IN 47804
(317) 661-5681
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
02/20/2025
Last updated
02/20/2025
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