Individual
HANNO W KIRK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LICSW, PHD
Contact information
Practice address
128 W WASHINGTON ST, LEWISBURG, WV 24901-1327
(304) 647-3311
Mailing address
HC 40 BOX 41, LEWISBURG, WV 24901-8811
(304) 647-3311
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
DP00036275
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
DP00036275
LICSW (SOC WORK)
WV
Enumeration date
10/11/2005
Last updated
01/13/2012
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