Individual
KYONNA CHARISSA IRBY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
108 S JACKSON AVE, STE 207, WYLIE, TX 75098-3938
(972) 442-5300
(214) 550-8810
Mailing address
312 BELLMEADE DR, GARLAND, TX 75040-3505
(972) 217-0519
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
40687
TX
104100000X
Social Worker
Primary
40687
TX
251B00000X
Case Management Agency
—
—
253J00000X
Foster Care Agency
—
—
Other
Enumeration date
12/27/2011
Last updated
12/27/2011
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