Individual
KIMBERLY MAE KIRKLIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
21998 AUDRAIN ROAD 322, MEXICO, MO 65265-5860
(660) 676-7599
Mailing address
21998 AUDRAIN ROAD 322, MEXICO, MO 65265-5860
(660) 676-7599
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
2019015418
MO
1041C0700X
Clinical Social Worker
Primary
2021029435
MO
Other
Enumeration date
10/16/2019
Last updated
08/15/2022
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