Individual
KYLE WYMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
3900 WOODLAND AVE, PHILADELPHIA, PA 19104-4551
(215) 594-1445
Mailing address
3900 WOODLAND AVE, PHILADELPHIA, PA 19104-4551
(215) 594-1445
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
1041C0700X
Clinical Social Worker
Primary
CW022109
PA
Other
Enumeration date
08/20/2018
Last updated
11/18/2024
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