Individual
KRYSTAL KIRK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LLMSW
Contact information
Practice address
8090 PINEHURST ST, DETROIT, MI 48204-3160
(313) 717-7651
Mailing address
9329 TELEGRAPH RD, REDFORD, MI 48239-1260
(313) 850-6859
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
—
—
251B00000X
Case Management Agency
Primary
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
—
—
Other
Enumeration date
04/28/2016
Last updated
12/23/2019
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