Individual
MARTINE LYLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS
Contact information
Practice address
31064 DANIELS DR, GENOA, IL 60135-8172
(847) 224-4227
Mailing address
31064 DANIELS DR, GENOA, IL 60135-8172
(847) 224-4227
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
10/05/2015
Last updated
10/05/2015
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