Individual
KIMBERLY KAY DIRKES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BSW, MS
Contact information
Practice address
2231 CATLIN AVE, SUPERIOR, WI 54880-5137
(715) 394-2054
(715) 394-9182
Mailing address
1320 W CLAIREMONT AVE, STE 200, EAU CLAIRE, WI 54701-4566
(715) 834-2046
(715) 834-7563
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
8319-120
WI
106H00000X
Marriage & Family Therapist
Primary
—
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
39785100
—
WI
Enumeration date
05/10/2007
Last updated
12/02/2020
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