DOUGLAS ALLEN KIRK

MADISON, WI
NPI1962516187
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: WI  7093-123)
Enumeration Date2006-08-17
Last Update Date2007-07-08
Business Address
-- DOUGLAS ALLEN KIRK LCSW
306 N BROOKS ST
MADISON, WI 53715-1002
Phone number: 608-280-7195
Mailing Address
-- DOUGLAS ALLEN KIRK LCSW
1602 WICKLOW WAY
MADISON, WI 53711-3665
Phone number: 608-280-7195