Individual
KYLIE R HORNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
330 W 58TH ST STE 409, NEW YORK, NY 10019
(212) 877-5500
Mailing address
42 DRIGGS AVE APT 3C, BROOKLYN, NY 11222-4524
(856) 381-8485
Taxonomy
Speciality
Code
Description
License number
State
103TC1900X
Counseling Psychologist
Primary
103951-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
103951-1
STATE ED
NY
Enumeration date
12/18/2018
Last updated
12/18/2018
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