Individual
KAYTLIN HOUSEKNECHT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1111 E END BLVD, WILKES BARRE, PA 18711-0026
(570) 824-3521
Mailing address
80 N GATES AVE, KINGSTON, PA 18704-5506
(570) 575-9295
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
SW138714
PA
Other
Enumeration date
10/05/2021
Last updated
10/05/2021
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