Individual
BETTY LYTLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LSW
Contact information
Practice address
240 HUMAHUACA ST, PAHRUMP, NV 89048-2199
(775) 751-7406
(775) 751-7409
Mailing address
240 HUMAHUACA ST, PAHRUMP, NV 89048-2199
(775) 751-7406
(775) 751-7409
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
6212-S
NV
Other
Enumeration date
03/06/2015
Last updated
03/06/2015
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