Kyonna Charissa Irby, LMSW

NPI #1649549205 in Wylie, Texas

Provider Information

NPI Number: 1649549205
Entity Type: Individual
Name: Kyonna Charissa Irby, LMSW
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Social Worker
Credential: LMSW
Enumeration Date: Dec 27, 2011
Last Updated: Dec 27, 2011

Practice Location

Address: 108 S JACKSON AVE
Address 2: STE 207
City: Wylie
State: Texas
ZIP Code: 75098-3938
Phone: (972) 442-5300

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor	101Y00000X
Social Worker	104100000X	Primary
Case Management	251B00000X
Foster Care Agency	253J00000X

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