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Individual

KYLEE SPROUSE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
1466 GREEN ACRES DR, NEWPORT, TN 37821-7022
(423) 379-0372
Mailing address
1466 GREEN ACRES DR, NEWPORT, TN 37821-7022

Taxonomy

Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary

Other

Enumeration date
01/26/2026
Last updated
01/26/2026
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