Individual
MS. MARY SUSAN KYLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
229 W WALNUT ST, MAYFIELD, KY 42066-2223
(270) 251-3666
(270) 251-3506
Mailing address
301 FRANKLIN ST, PADUCAH, KY 42003-0434
(270) 442-7131
(270) 444-2368
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
3287
KY
Other
Enumeration date
02/22/2010
Last updated
02/22/2010
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