Suzanne M Kirk LICSW

NPI 1770641557 - Social Worker - 104100000X

NPI Details
NPI 1770641557
Gender Female
Enumeration Date 12/05/2006
Last Updated 03/15/2010
Entity Type Individual
Active Over 9 years ago
Practice Location
4001 STINSON BLVD
402
MINNEAPOLIS MN, 55421-3488, US
Phone (612) 789-2164
Fax
Business Location
1111 SIBLEY MEMORIAL HWY
SAINT PAUL MN, 55118-3620, US
Phone
Fax
Toxanomy
Taxonomy Code 104100000X
License State Minnesota
License Number LICSW14162
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According to our database, Suzanne M Kirk LICSW NPI is 1770641557, taxonomy code is 104100000X and license number is LICSW14162, license state is located at Minnesota. Suzanne M Kirk LICSW physically located at 4001 Stinson Blvd, Minneapolis MN, 55421-3488. NPI Number Suzanne M Kirk LICSW has the Individual type.

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1770641557 NPI number is provided on an as is basis without warranty of any kind. 1770641557 is maintained by the National Plan & Provider Enumeration System. The contents of Suzanne M Kirk LICSW are for informational purposes only.