SAMUEL H KIRBY

MADISON, WI
NPI1972855914
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor Addiction (Substance Use Disorder)
(Licence: WI  15769-131)
Enumeration Date2012-10-15
Last Update Date2012-10-15
Business Address
SAMUEL H KIRBY SAC
3113 E WASHINGTON AVE
MADISON, WI 53704-4330
Phone number: 608-242-0220
Mailing Address
SAMUEL H KIRBY SAC
3113 E WASHINGTON AVE
MADISON, WI 53704-4330
Phone number: 608-242-0220
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