Individual
EARL L KIRN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
2411 FAIRLAWN AVE, CARTHAGE, MO 64836
(417) 359-8093
(417) 359-8094
Mailing address
PO BOX 54, CARTHAGE, MO 64836-0054
(417) 359-8093
(417) 359-8094
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
004245
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
495147829
—
MO
Enumeration date
04/28/2008
Last updated
04/28/2008
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