Individual
SUE ELLEN KIRKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
802 3RD STREET, SPRINGER, NM 87747
(505) 398-1567
(575) 383-3337
Mailing address
PO BOX 446, SPRINGER, NM 87747-0446
(505) 398-1567
(575) 383-3337
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
—
—
172V00000X
Community Health Worker
Primary
—
—
Other
Enumeration date
04/29/2021
Last updated
09/13/2021
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