Individual
KYLE VERRILL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1801 MAIN ST, BLAKELY, PA 18447-1365
(570) 961-3361
(570) 961-3364
Mailing address
288 LAUREL ST, ARCHBALD, PA 18403-2026
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
SW135391
PA
Other
Enumeration date
10/12/2018
Last updated
01/24/2024
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