Individual
KIRBY MIKELLE STARKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1200 NOBLE ST # 1, ANNISTON, AL 36201-4659
(256) 741-6160
Mailing address
1205 MAPLE ST APT 107, CARROLLTON, GA 30117-6301
(678) 360-3524
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
05/31/2007
Last updated
07/08/2007
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