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Individual
KYLE S PUZ
Active
Individual
KYLE S PUZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CDCA, QMHS
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CDCA.178037
OH
172V00000X
Community Health Worker
QMHS
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0419128
—
OH
Enumeration date
03/09/2020
Last updated
01/26/2023
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