Individual
MRS. AMBER KIRBY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW, CSAC
Contact information
Practice address
2625 N WEIL ST, MILWAUKEE, WI 53212-3060
(262) 945-2012
Mailing address
2625 N WEIL ST, MILWAUKEE, WI 53212-3060
(262) 945-2012
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
205151827
WI
104100000X
Social Worker
Primary
8299-123
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1871873968
—
WI
Enumeration date
08/22/2011
Last updated
07/11/2022
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