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Individual
KYLE SLOUGH
Active
Individual
KYLE SLOUGH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
9078
NC
101YA0400X
Addiction (Substance Use Disorder) Counselor
2966
NC
Other
Enumeration date
05/16/2016
Last updated
05/16/2016
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