Individual
KYLE BOSTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LICSW
Contact information
Practice address
10 WEST ST, CONCORD, NH 03301
(603) 225-0123
Mailing address
PO BOX 2032, CONCORD, NH 03302-2032
(603) 226-7505
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
113546
MA
1041C0700X
Clinical Social Worker
Primary
2116
NH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
113546
LICSW LICENSE NUMBER
MA
Enumeration date
01/29/2016
Last updated
06/22/2018
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