Individual
MISS KYLIE LEAVENS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA
Contact information
Practice address
645 PENN ST FL 2, READING, PA 19601-3543
(610) 373-4281
Mailing address
4130 THOMPSONDALE RD, COOPERSBURG, PA 18036-9767
(301) 788-9713
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
04/19/2022
Last updated
04/19/2022
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