Individual
MISS KAITLYN ALISE KIRKHAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1875 E QUEEN CREEK RD., GILBERT, AZ 85297
(419) 482-8382
Mailing address
7340 E LEGACY BLVD UNIT H3002, SCOTTSDALE, AZ 85255-6530
(801) 368-6475
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
07/20/2023
Last updated
07/20/2023
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