KEN G YOUNGBERG

SOLDOTNA, AK
NPI1609170133
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: AZ  LCSW-3870)
Enumeration Date2010-12-23
Last Update Date2017-02-01
Business Address
-- KEN G YOUNGBERG LCSW
47360 PHILOSOPHER CT
SOLDOTNA, AK 99669-9259
Phone number: 928-606-0916
Mailing Address
-- KEN G YOUNGBERG LCSW
47360 PHILOSOPHER CT
SOLDOTNA, AK 99669-9259
Phone number: 928-606-0916