Individual
KYLIE PRATHER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4002 124TH ST, LUBBOCK, TX 79423-8902
(806) 215-1886
Mailing address
4002 124TH ST, LUBBOCK, TX 79423-8902
(806) 215-1886
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
83415
TX
Other
Enumeration date
06/17/2022
Last updated
06/17/2022
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