Individual
KIRK L LAMB
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PH D
Contact information
Practice address
110 2ND ST S, SUITE 301, WAITE PARK, MN 56387-1314
(320) 252-2976
(320) 656-1570
Mailing address
110 2ND ST S, SUITE 301, WAITE PARK, MN 56387-1314
(320) 252-2976
(320) 656-1570
Taxonomy
Speciality
Code
Description
License number
State
103TC1900X
Counseling Psychologist
Primary
LP0559
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
936247900
—
MN
Enumeration date
08/15/2006
Last updated
09/29/2011
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