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1609170133
KEN G YOUNGBERG
SOLDOTNA, AK
NPI
1609170133
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: AZ LCSW-3870)
Enumeration Date
2010-12-23
Last Update Date
2017-02-01
Business Address
-- KEN G YOUNGBERG LCSW
47360 PHILOSOPHER CT
SOLDOTNA, AK 99669-9259
Phone number: 928-606-0916
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Mailing Address
-- KEN G YOUNGBERG LCSW
47360 PHILOSOPHER CT
SOLDOTNA, AK 99669-9259
Phone number: 928-606-0916
Copy
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