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Individual
LONNIE LYLES
Active
Individual
LONNIE LYLES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCSW
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
1036
KY
1041C0700X
Clinical Social Worker
Primary
3849
KY
Other
Enumeration date
06/07/2011
Last updated
10/17/2014
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