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Organization

KAREN S. KIRK, PHD, PLLC

Active
Other names
Cape Fear Developmental Therapies PLLC, Cape Fear Developmental Therapies, PLLC
Organization subpart
No

Provider details

NPI number
Authorized official
DR. KAREN S. KIRK PHD (OWNER / MANAGER)
(910) 202-9113
Entity
Organization

Contact information

Practice address
2601 IRON GATE DR STE 101, WILMINGTON, NC 28412-6624
(910) 202-9113
(910) 202-9289
Mailing address
P.O. BOX 16570, WILMINGTON, NC 28408
(910) 202-9113
(910) 202-9289

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
3894
NC
251S00000X
Community/Behavioral Health Agency

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
6008801
NC
Enumeration date
08/23/2012
Last updated
10/06/2022
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