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Individual
REG A AYRES
Active
Individual
REG A AYRES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCP
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LCP 073
KS
Other
Enumeration date
07/16/2006
Last updated
02/11/2013
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