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Individual

KURTIS KIRKPATRICK

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.A., LLPC

Contact information

Practice address
1001 MILITARY ST, PORT HURON, MI 48060-5416
(810) 985-5168
Mailing address
1001 MILITARY ST, PORT HURON, MI 48060-5416
(810) 985-5168

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
382230613
FIN#
MI
Enumeration date
09/23/2014
Last updated
09/23/2014
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