Individual
NICOLE KIRBY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LISW
Contact information
Practice address
925 PORTER AVE, DES MOINES, IA 50315-7235
(515) 285-6781
Mailing address
925 PORTER AVE, DES MOINES, IA 50315-7235
(515) 285-6781
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
080645
IA
Other
Enumeration date
06/22/2016
Last updated
11/13/2018
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