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Individual
PATRICIA M LYLES
Active
Individual
PATRICIA M LYLES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
161796
OH
101YA0400X
Addiction (Substance Use Disorder) Counselor
LCDCIII.14173
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0283320
—
OH
Enumeration date
09/28/2017
Last updated
07/21/2022
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