Individual
MARYLIN KAY KIRKHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S.
Contact information
Practice address
1055 S HIGHWAY 395 STE 323, HERMISTON, OR 97838-6919
(541) 564-4473
(541) 564-8477
Mailing address
PO BOX 1290, ONTARIO, OR 97914-0136
(541) 889-9167
(541) 889-7873
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
10/24/2006
Last updated
07/08/2007
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