EMILY KIRK

LA PORTE, IN
NPI1497129944
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date2015-11-20
Last Update Date2015-11-20
Business Address
-- EMILY KIRK
2028 MICHIGAN AVE
LA PORTE, IN 46350-6176
Phone number: 219-246-6802
Mailing Address
-- EMILY KIRK
2028 MICHIGAN AVE
LA PORTE, IN 46350-6176
Phone number: