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Individual
MRS. KYLIE PELLERIN
Active
Individual
MRS. KYLIE PELLERIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, LPES, NCSP
Taxonomy
Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
4627
SC
Other
Enumeration date
03/17/2014
Last updated
01/28/2015
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