PHILIP KIRK

BRADLEY, IL
NPI1932367281
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YM0800X Counselor, Mental Health
(Licence: IL  178-005370)
Enumeration Date2008-05-22
Last Update Date2008-05-22
Business Address
-- PHILIP KIRK LPC
525 E NORTH ST SUITE B
BRADLEY, IL 60915-1185
Phone number: 815-933-0667
Mailing Address
-- PHILIP KIRK LPC
525 E NORTH ST SUITE B
BRADLEY, IL 60915-1185
Phone number: 815-933-0667
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