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1962516187
DOUGLAS ALLEN KIRK
MADISON, WI
NPI
1962516187
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: WI 7093-123)
Enumeration Date
2006-08-17
Last Update Date
2007-07-08
Business Address
-- DOUGLAS ALLEN KIRK LCSW
306 N BROOKS ST
MADISON, WI 53715-1002
Phone number: 608-280-7195
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Mailing Address
-- DOUGLAS ALLEN KIRK LCSW
1602 WICKLOW WAY
MADISON, WI 53711-3665
Phone number: 608-280-7195
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