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Individual
KYLA SPIES
Active
Individual
KYLA SPIES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LICDC
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
CDCA.180340
OH
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
LICDC.162540
OH
104100000X
Social Worker
S.2410264
OH
Other
Enumeration date
03/18/2021
Last updated
01/10/2024
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