Individual
MS. STEPHANIE L KIRNES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
310 MODEST ST, LAKELAND, FL 33805-3123
(863) 808-2440
Mailing address
PO BOX 2253, EATON PARK, FL 33840-2253
(863) 808-2440
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
FL
Other
Enumeration date
12/24/2009
Last updated
12/24/2009
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