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General NPI Number Information
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NPI Number | 1023556149
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Entity Type | Individual
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Provider Name | ANGELA MARIE KIRKER LISW-S, LICDC-CS
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Gender | Female
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Dates
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Enumeration Date | 02/09/2017
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Last Update Date | 12/29/2025
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Provider Practice Location Address
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Address Line | 538 MAIN ST STE 309
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City | COSHOCTON
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State | OH
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Zip | 43812-1612
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Country | US
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Telephone | 740-202-9754
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Fax | 740-870-2541
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Provider Business Mailing Address
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Address Line | 1136 ORCHARD ST
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City | COSHOCTON
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State | OH
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Zip | 43812-1743
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Country | US
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Telephone | 740-202-9754
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Fax | 740-870-2541
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number | LICDC.161586
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License Number State | OH
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Taxonomy #2
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | I.1700556-SUPV
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License Number State | OH
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