Individual
LYDIA CATHERINE KINGSBURY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
111 EDGARTOWN RD, VINEYARD HAVEN, MA 02568-5699
(508) 693-7900
Mailing address
111 EDGARTOWN RD, VINEYARD HAVEN, MA 02568-5699
(508) 693-7900
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
228177
MA
Other
Enumeration date
10/04/2022
Last updated
10/04/2022
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