Individual
MRS. DORIS A. KYLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S.W.
Contact information
Practice address
107 MAIN ST UNIT 3, WELLSBORO, PA 16901-1518
(570) 723-1005
(570) 723-1006
Mailing address
107 MAIN ST UNIT 3, WELLSBORO, PA 16901-1518
(570) 723-1005
(570) 723-1006
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
1727
PA
1041C0700X
Clinical Social Worker
Primary
CW000402L
PA
Other
Enumeration date
10/10/2006
Last updated
03/21/2014
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