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Individual

KYLEIGH IVORY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.ED BSL

Contact information

Practice address
90 S COMMERCE WAY, BETHLEHEM, PA 18017-8601
(610) 691-8401
Mailing address
1 W MAIN ST, FLEETWOOD, PA 19522-1323
(610) 944-0445

Taxonomy

Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
BH002392
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
23-2052170
CONCERN COUNSELING SERVICES FOR CHILDREN YOUTH AND FAMILIES
PA
Enumeration date
08/28/2014
Last updated
08/28/2014
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