| Kimberly Knowlton-young, Licsw Inc. | |
|
20 W Park St Lebanon NH 03766-1378 | |
| (339) 440-1103 | |
| (866) 220-8338 |
| Full Name | Kimberly Knowlton-young, Licsw Inc. |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 20 W Park St, Lebanon, New Hampshire |
| Authorized Official Name and Position | Kimberly Knowlton-young (OWNER) |
| Authorized Official Contact | 3394401103 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Kimberly Knowlton-young, Licsw Inc. 20 W Park St Lebanon NH 03766-1378 Ph: (339) 440-1103 | Kimberly Knowlton-young, Licsw Inc. 20 W Park St Lebanon NH 03766-1378 Ph: (339) 440-1103 |
| NPI Number | 1801498928 |
|---|---|
| Provider Enumeration Date | 11/13/2020 |
| Last Update Date | 11/13/2020 |
| Certification Date | 11/13/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1801498928 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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