Individual
MR. SAMUEL KIRKWOOD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
74 WOODMILL CT, DALLAS, GA 30157-0709
(773) 727-3335
Mailing address
74 WOODMILL CT, DALLAS, GA 30157-0709
(773) 727-3335
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
05/19/2015
Last updated
05/19/2015
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