Individual
TRUDY S KIRKLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
8 E COTTONWOOD ST, COTTONWOOD, AZ 86326-4382
(928) 634-2236
(928) 634-8960
Mailing address
145 MOONLIGHT CIR, #260, SEDONA, AZ 86336-9775
(928) 634-2236
(928) 634-8960
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LCSW-11489
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
871667
—
AZ
Enumeration date
06/23/2006
Last updated
07/08/2007
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