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Individual
MR. KYLE M KORNBAU
Active
Individual
MR. KYLE M KORNBAU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCMHC
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
7714
NC
101YM0800X
Mental Health Counselor
Primary
S7714
NC
103TC1900X
Counseling Psychologist
3335
NC
Other
Enumeration date
05/15/2007
Last updated
10/22/2020
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