Individual
SHARONDA KYLES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
603 N BROAD ST STE 200, WOODBURY, NJ 08096-1619
(609) 982-1791
Mailing address
925 ROUTE 73 N STE H, MARLTON, NJ 08053-1277
(609) 982-1791
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
NJ
Other
Enumeration date
05/26/2022
Last updated
05/26/2022
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