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NPI Code Detail

MEDICARE: KIRA MARIA COLLINS MSW. LCSW

MEDICARE: KIRA MARIA COLLINS MSW. LCSW
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11041C0700XClinical Social Worker2018006860MO

General Provider Information

NPI Number : 1154825958
Entity Type Code : Individual
Provider Name (Legal Business Name) : KIRA MARIA COLLINS MSW. LCSW
Provider Business Mailing Address
First Line : 1034 S BRENTWOOD BLVD STE 555
Second Line :
City : RICHMOND HEIGHTS
State : MO
Zip : 63117-1265
Country : US
Telephone Number : 314-695-7650
Fax Number :
Provider Business Practice Location Address
First Line : 1034 S BRENTWOOD BLVD STE 555
Second Line :
City : RICHMOND HEIGHTS
State : MO
Zip : 63117-1265
Country : US
Telephone Number : 314-695-7650
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/19/2018
Last Update Date : 03/19/2018

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