Individual
MISS KIRBY BLAIR WOOD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
4601 50TH ST STE 108A, LUBBOCK, TX 79414-3513
(806) 305-2012
Mailing address
PO BOX 65737, LUBBOCK, TX 79464-5681
(806) 305-2012
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
74244
TX
101YP2500X
Professional Counselor
74244
TX
Other
Enumeration date
10/10/2017
Last updated
06/11/2021
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