Individual
BERNARD P KINLAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
1 ASCOT LANE, TERRACE AT GLEN EDDY, NISKAYUNA, NY 12309
(518) 280-8361
Mailing address
123 KENNEWYCK CIR, SLINGERLANDS, NY 12159-9564
(518) 452-5674
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
PRO18167
NY
Other
Enumeration date
11/14/2013
Last updated
11/14/2013
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