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Organization
KYLE MICELI LLC
Active
Organization
KYLE MICELI LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KYLE NICHOLAS MICELI LCSW (OWNER)
(856) 856-3957
Entity
Organization
Contact information
Practice address
14 RALEIGH LN, MARLTON, NJ 08053-3501
(856) 856-3957
(856) 249-9703
Mailing address
14 RALEIGH LN, MARLTON, NJ 08053-3501
(856) 856-3957
(856) 249-9703
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
09/27/2024
Last updated
09/27/2024
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