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Organization
LYBH CORP
Active
Organization
LYBH CORP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LEVI WOLFF (OWNER)
(347) 779-4086
Entity
Organization
Contact information
Practice address
630 MEADOWLAND AVE, KINGSTON, PA 18704-5317
(570) 763-9177
Mailing address
630 MEADOWLAND AVE, KINGSTON, PA 18704-5317
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
—
Other
Enumeration date
12/27/2021
Last updated
12/30/2021
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