Individual
KIRBY MCMAHON RICHARDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
710 SW ROCK CREEK DR, STEVENSON, WA 98648-4418
(541) 296-5452
(541) 296-4792
Mailing address
PO BOX 1492, STEVENSON, WA 98648-1492
(509) 427-3850
(509) 427-0188
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LW00009633
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2046279
—
WA
Enumeration date
12/05/2006
Last updated
01/02/2020
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