Individual
KELLY JANE KIRKPATRICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1311 ORCHARD WAY, FREDERICK, MD 21703-6090
(240) 415-8733
Mailing address
1311 ORCHARD WAY, FREDERICK, MD 21703-6090
(240) 415-8733
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LC4113
MD
Other
Enumeration date
12/12/2011
Last updated
02/04/2017
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