Individual
KILEY J YOUNG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
11 BOSTON POST RD, WATERFORD, CT 06385-2401
(860) 339-6973
Mailing address
11 BOSTON POST RD FL 2, WATERFORD, CT 06385-2401
(860) 339-6973
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
—
—
1041C0700X
Clinical Social Worker
Primary
10133
CT
Other
Enumeration date
10/21/2015
Last updated
09/14/2019
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