Most Relevant Information
Provider Data
| NPI Number: | 1003288820 |
| Provider Name: | KILEY J YOUNG LCSW |
| Entity Type: | Individual |
| Taxonomy Code: | 104100000X |
| Specialty: | Social Worker |
| License Number: |
Most Important Dates
| Enumeration Date: | 10/21/2015 |
| Last Updated: | 09/14/2019 |
Provider Practice Location
11 BOSTON POST RD
WATERFORD
CT
063852401
Practice Location Phone/Fax
| Phone: | 8603396973 |
| Fax: |
Provider Mailing Location
11 BOSTON POST RD FL 2
WATERFORD
CT
063852401
Provider Mailing Phone/Fax
| Phone: | 8603396973 |
| Fax: |