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Organization

KENNETH G YOUNGBERG PC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
KENNETH G YOUNGBERG LCSW (OWNER)
(907) 953-7303
Entity
Organization

Contact information

Practice address
232 W ROCKWELL AVE, SOLDOTNA, AK 99669-7411
(907) 953-7303
Mailing address
47360 PHILOSOPHER CT, SOLDOTNA, AK 99669-9259
(907) 953-7303

Taxonomy

Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary

Other

Enumeration date
01/06/2019
Last updated
01/06/2019
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