Most Relevant Information
Provider Data
| NPI Number: | 1003516907 |
| Provider Name: | MILDRET KIRKUP LCSW |
| Entity Type: | Individual |
| Taxonomy Code: | 1041C0700X |
| Specialty: | Social Worker |
| License Number: | 091341 |
Most Important Dates
| Enumeration Date: | 03/08/2023 |
| Last Updated: | 04/04/2023 |
Provider Practice Location
669 MAIN ST # 1049
NEW ROCHELLE
NY
108017101
Practice Location Phone/Fax
| Phone: | 9142752040 |
| Fax: |
Provider Mailing Location
669 MAIN ST # 1049
NEW ROCHELLE
NY
108017101
Provider Mailing Phone/Fax
| Phone: | 9142752040 |
| Fax: |