Most Relevant Information
Provider Data
| NPI Number: | 1003067398 |
| Provider Name: | SOYUN KWAN LICSW |
| Entity Type: | Individual |
| Taxonomy Code: | 1041C0700X |
| Specialty: | Social Worker |
| License Number: | 114736 |
Most Important Dates
| Enumeration Date: | 10/04/2008 |
| Last Updated: | 04/12/2018 |
Provider Practice Location
300 LONGWOOD AVE
CHILDREN'S HOSPITAL BOSTON
BOSTON
MA
021155724
Practice Location Phone/Fax
| Phone: | 6173550567 |
| Fax: | 6177300208 |
Provider Mailing Location
300 LONGWOOD AVE
CHILDREN'S HOSPITAL BOSTON
BOSTON
MA
021155724
Provider Mailing Phone/Fax
| Phone: | 6173550567 |
| Fax: | 6177300208 |