Kirk, Ted M
Kirk, Ted M is an individual health care provider with primary practice located at 977A Taylor Street , Conyers GA 30012. He recently has only one registered license in Behavioral Health & Social Service Providers / Social Worker, which is considered as his primary health care specialty. Kirk, Ted M can be contacted via phone (770) 918-6677.Contact Information
Primary practice address
977A Taylor Street
Conyers GA 30012
Phone: (770) 918-6677
Fax: (770) 918-6686
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Social Worker | 104100000X | LMSW004940 | Georgia |
Profile Details
| NPI number | 1629357637 |
|---|---|
| LBN Legal business name | Kirk, Ted M |
| Credentials | SOCIAL WORKER |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 8th, 2011 |
| Last updated | Aug 8th, 2011 - about 15 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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