Individual
BETTY ANN LYLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LSW
Contact information
Practice address
31523 PORTLAND MILLS RD, RIDGWAY, PA 15853-3711
(814) 772-4648
Mailing address
31523 PORTLAND MILLS RD, RIDGWAY, PA 15853-3711
(814) 772-4648
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
SW128518
PA
Other
Enumeration date
05/26/2011
Last updated
05/26/2011
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