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Individual
KYLE HIGGINS
Active
Individual
KYLE HIGGINS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RPH, LISW, LICDC
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
150058
OH
Other
Enumeration date
06/15/2016
Last updated
09/16/2019
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