Most Relevant Information
Provider Data
| NPI Number: | 1003274507 |
| Provider Name: | KYLE BOSTON LICSW |
| Entity Type: | Individual |
| Taxonomy Code: | 1041C0700X |
| Specialty: | Social Worker |
| License Number: | 113546 |
Most Important Dates
| Enumeration Date: | 01/29/2016 |
| Last Updated: | 06/22/2018 |
Provider Practice Location
10 WEST ST
CONCORD
NH
03301
Practice Location Phone/Fax
| Phone: | 6032250123 |
| Fax: |
Provider Mailing Location
PO BOX 2032
CONCORD
NH
033022032
Provider Mailing Phone/Fax
| Phone: | 6032267505 |
| Fax: |