Individual
SHALONDA MICHELE KIRK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
11481 MARION OAKS DR, TUSCALOOSA, AL 35405-8203
(865) 272-9865
Mailing address
11481 MARION OAKS DR, TUSCALOOSA, AL 35405-8203
(865) 272-9865
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
ALC04152
AL
Other
Enumeration date
09/04/2023
Last updated
12/22/2023
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