Individual
JESSICA MARIE LYLES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
248 BIRDS EYE VW, BOILING SPRINGS, SC 29316-5358
(803) 363-1954
Mailing address
248 BIRDS EYE VW, BOILING SPRINGS, SC 29316-5358
(803) 363-1954
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
04/05/2018
Last updated
04/05/2018
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