Kirk, Charlene

Kirk, Charlene is an sole proprietor health care provider with primary practice located at 4077 Flat Shoals Pkwy , Decatur GA 30034-4104. She recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as her primary health care specialty. Kirk, Charlene can be contacted via phone (678) 705-8248.

Contact Information

Primary practice address
4077 Flat Shoals Pkwy Decatur GA 30034-4104
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X

Profile Details

NPI number 1164627493
LBN Legal business name Kirk, Charlene
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 18th, 2007
Last updated Jul 24th, 2015 - about 10 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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