Individual
MRS. KYLIE EYSE BANCROFT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW
Contact information
Practice address
510 OLD CANDIA RD, CANDIA, NH 03034-2400
(603) 810-0411
Mailing address
11 BAY RD APT 3, NEWMARKET, NH 03857-1707
(603) 845-8968
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
06/30/2020
Last updated
11/01/2023
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