Individual
MR. JAMES HARLAND KIRK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MSW, LCSW
Contact information
Practice address
9301 MADISON ST, CROWN POINT, IN 46307-7745
(219) 662-5000
Mailing address
9301 MADISON ST, CROWN POINT, IN 46307-7745
(219) 662-5000
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
34003727A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000207924
ANTHEM
IN
Enumeration date
10/19/2005
Last updated
08/26/2014
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