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Individual

SHELIA ROSE KIRKMAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MS

Contact information

Practice address
965 W CRAIG AVE, BRAZIL, IN 47834-7400
(812) 446-4673
Mailing address
592 W COUNTY ROAD 600 N, BRAZIL, IN 47834-8234
(812) 605-2068

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
39001081A
IN
1041C0700X
Clinical Social Worker
34003195A
IN
106H00000X
Marriage & Family Therapist
Primary
35000028A
IN

Other

Enumeration date
04/06/2009
Last updated
04/06/2009
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