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Ted Kirk, SOCIAL WORKER
NPI 1629357637 · on the registry since 2011
Practice
- Address
- 977a Taylor Street
Conyers, GA 30012 - Phone
- (770) 918-6677
- Fax
- (770) 918-6686
- Organisation at this address
- Grncsb
Inferred from a shared address, not stated in the registry.
Registry record
- Primary taxonomy
- Social Worker
104100000X
- Licence states on file
- GA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2011-08-08
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Georgia