Individual
MRS. MILLIE T. BIRKY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW, MSW
Contact information
Practice address
1930 W. LINCOLN AVENUE, GOSHEN, IN 46526
(574) 534-2161
(574) 534-3887
Mailing address
1726 LONGWOOD COURT, GOSHEN, IN 46526
(574) 534-2161
(574) 534-3887
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
34003580A
IN
Other
Enumeration date
06/13/2006
Last updated
09/17/2008
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