Logan Anne Kingston, LMSW

NPI #1164056958 in Southampton, New York

Provider Information

NPI Number: 1164056958
Entity Type: Individual
Name: Logan Anne Kingston, LMSW
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Social Worker
Credential: LMSW
Enumeration Date: Mar 2, 2020
Last Updated: Mar 2, 2020

Practice Location

Address: 46 MAIN ST
City: Southampton
State: New York
ZIP Code: 11968-4864
Phone: (631) 255-4453

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Social Worker	104100000X	Primary

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