Individual
GREG P KIRKHAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
1978 PORTWAY RD, SPRING HILL, TN 37174-9293
(615) 636-1149
Mailing address
1978 PORTWAY RD, SPRING HILL, TN 37174-9293
(615) 636-1149
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
6511
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
6155
STATE OF TN
TN
Enumeration date
03/05/2007
Last updated
02/15/2016
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