Individual
AUDREY SHIRK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LSW
Contact information
Practice address
360 E ENON RD, YELLOW SPRINGS, OH 45387-1415
(937) 570-7107
Mailing address
360 E ENON RD, YELLOW SPRINGS, OH 45387-1415
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
S.1801868
OH
1041C0700X
Clinical Social Worker
S.1801868
OH
Other
Enumeration date
08/06/2020
Last updated
10/20/2023
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