Individual
KYLEY LYON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
61 MEDFORD ST, SOMERVILLE, MA 02143-3421
(617) 629-3919
Mailing address
59 WARREN ST, APT. 4, CHARLESTOWN, MA 02129-3600
(617) 519-1629
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
215417
MA
Other
Enumeration date
08/11/2009
Last updated
08/11/2009
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