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Individual

MISS KYLIE SUYDAM

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LSW

Contact information

Practice address
225 GORDONS CORNER RD, MANALAPAN, NJ 07726-3356
(732) 947-4777
Mailing address
102 LONGFIELD CT, EAST BRUNSWICK, NJ 08816-1828
(732) 421-4372

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
44SL06770500
NJ

Other

Enumeration date
10/31/2024
Last updated
10/31/2024
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