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Individual

ASHLEY LYLE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
300 W BALTIMORE AVE, MEDIA, PA 19063-3683
(855) 687-2410
(833) 687-2414
Mailing address
401 RUSTMONT DR, MALVERN, PA 19355-3212
(484) 686-8550

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary

Other

Enumeration date
08/25/2023
Last updated
08/25/2023
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