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Individual
KYLIE EIBEL
Active
Individual
KYLIE EIBEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
S.1903934
OH
101YA0400X
Addiction (Substance Use Disorder) Counselor
LCDCIII.162070
OH
1041C0700X
Clinical Social Worker
Primary
S.1903934
OH
Other
Enumeration date
07/29/2019
Last updated
06/16/2023
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